Individual
DR. JONATHAN TEH CHEANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 COFFEE RD, MODESTO, CA 95355-4203
(209) 524-1900
Mailing address
1011 COFFEE RD, MODESTO, CA 95355-4203
(209) 524-1900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A78886
CA
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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