Individual
MICHELLE KIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 EAST NEW YORK AVE, SHORE MEMORIAL HOSPITAL - CHOP CONNECTION, SOMERS POINT, NJ 08244
(609) 926-4258
(215) 561-0959
Mailing address
100 N 20TH ST, CHCA SUITE 301, PHILADELPHIA, PA 19103-1443
(215) 567-2422
(215) 561-0959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07739100
NJ
208000000X
Pediatrics Physician
MD424237
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047309
—
NJ
05
—
101158003
—
PA
Enumeration date
08/04/2006
Last updated
07/08/2007
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