Individual
PENN TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1310 N AVIGNON DR, GLADWYNE, PA 19035-1043
(484) 343-5062
Mailing address
1310 N AVIGNON DR, GLADWYNE, PA 19035-1043
(484) 343-5062
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MT203612
PA
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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