Organization
THE WINDHAM CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CHUNG PENG M.D. (PRESIDENT)
(330) 326-3666
Entity
Organization
Contact information
Practice address
9250 N MAIN ST, WINDHAM, OH 44288-1058
(330) 326-3666
Mailing address
9250 N MAIN ST, P.O. BOX 489, WINDHAM, OH 44288-1058
(330) 326-3666
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/04/2006
Last updated
08/22/2020
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