Individual
DR. JING CHENG ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 WOODBINE LN, DANVILLE, PA 17821-8029
(570) 271-6531
(570) 271-7146
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD423932
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009510840006
—
PA
Enumeration date
06/27/2005
Last updated
07/16/2020
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