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Individual

DR. FENGJUN JIANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
228 SAINT CHARLES WAY STE 200, YORK, PA 17402-4661
(717) 851-5503
(717) 851-5507
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-5503
(717) 851-5507

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD424105
PA
2084N0400X
Neurology Physician
Primary
MD424105
PA
2084N0600X
Clinical Neurophysiology Physician
MD424105
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100452
GEISINGER
PA
05
101213615
PA
01
109185
JOHNS HOPKINS
PA
01
1544217
GATEWAY-WMG
PA
01
167112
UNISON-WMG
PA
01
20043931
AMERIHEALTH MERCY-WMG
PA
01
2137711
MAMSI-WMG
PA
01
50046369
CAPITAL BLUE CROSS-WMG
PA
01
645183
CAREFIRST MD BCBS
MD
01
737330
HIGHMARK BLUE SHIELD
PA
01
7374849
AETNA
PA
Enumeration date
07/03/2006
Last updated
03/07/2018
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