Individual
CHENGYU LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, ROCK PAVILION, BASEMENT-ROOM AO-F300, PHILADELPHIA, PA 19140-5103
(215) 707-9403
Mailing address
12 VALLEY LN, MULLICA HILL, NJ 08062-1611
(856) 478-0684
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD432025
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020025710001
—
PA
05
—
1020025710002
—
PA
01
—
2864536000
BCBS OF PA
PA
Enumeration date
05/22/2007
Last updated
11/17/2008
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