Individual
MENG SHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6044 CASTOR AVE, PHILADELPHIA, PA 19149-3205
(215) 565-5616
Mailing address
6044 CASTOR AVE, PHILADELPHIA, PA 19149-3205
(215) 565-5616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010582
PA
Other
Enumeration date
04/18/2012
Last updated
07/17/2012
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