Individual
GENE CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 MIDDLE STREET, AUGUSTA, ME 04330
(207) 622-4400
(207) 621-2483
Mailing address
6 MIDDLE STREET, AUGUSTA, ME 04330
(207) 622-4400
(207) 621-2483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015417
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047014
ANTHEM
—
01
—
2350502
AETNA
—
05
—
405500000
—
ME
Enumeration date
03/29/2006
Last updated
09/21/2012
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