Individual
DR. ELISA KUO-MIN CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 WILLARD ST, CAMBRIDGE, MA 02138-4861
(617) 855-8444
(219) 209-5667
Mailing address
24 DEAN ST, BELMONT, MA 02478-3257
(617) 312-3339
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
229216
MA
2084P0800X
Psychiatry Physician
Primary
242699
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70010000J49320
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/22/2007
Last updated
11/29/2024
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