Organization
DR DENG CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAOYING DENG M.D. (CEO)
(201) 345-3532
Entity
Organization
Contact information
Practice address
121 N 9TH ST, PHILADELPHIA, PA 19107-2410
(201) 345-3532
Mailing address
500 E RIDGEWOOD AVE, APT 17, RIDGEWOOD, NJ 07450-3340
(201) 345-3532
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD440933
PA
Other
Enumeration date
09/11/2010
Last updated
09/11/2010
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