Individual
DR. PETER SIAO-TICK-CHONG
Active
Individual
DR. PETER SIAO-TICK-CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
60457
MA
2084N0400X
Neurology Physician
Primary
60457
MA
2084N0600X
Clinical Neurophysiology Physician
60457
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110060456A
—
MA
05
—
3117373
—
NH
Enumeration date
03/10/2006
Last updated
04/04/2024
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