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Individual

CHARLES YENWEI PENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13221 RAVENNA RD STE 3, CHARDON, OH 44024-9016
(440) 214-3114
Mailing address
20800 HARVARD RD, 2ND FLR, HIGHLAND HILLS, OH 44122-7251

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261875
NY
207RP1001X
Pulmonary Disease Physician
Primary
35-126941
OH

Other

Enumeration date
06/30/2008
Last updated
12/31/2020
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