Individual
PING-AN TJOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 FERGUSON LN, NEWARK, DE 19702-4317
(302) 834-1681
(302) 834-1681
Mailing address
111 FERGUSON LN, NEWARK, DE 19702-4317
(302) 834-1681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-038577-Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00089483300
—
PA
01
—
424832
HIGHMARK BLUE SHIELD
PA
01
—
6366700
CIGNA
—
Enumeration date
07/07/2006
Last updated
08/01/2013
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