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Individual

DR. CHIOCHEN CHENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
133 BAILEY RD, ANDOVER, MA 01810-4242
(978) 886-3978
Mailing address
133 BAILEY RD, ANDOVER, MA 01810-4242
(978) 886-3978

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11167
NH
207R00000X
Internal Medicine Physician
Primary
208697
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0140066
MA
01
01Y003238MA02
ANTHEM
NH
01
208697
TUFTS HEALTH PLAN
MA
05
30201520
NH
01
62136
FALLON COMMUNITY HEALTH
MA
01
690841
HARVARD PILGRAM
MA
01
J23638
BLUECROSS BLUESHIELD, MA
MA
Enumeration date
03/24/2006
Last updated
12/27/2011
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