Meng Shang, | |
6044 Castor Ave, Philadelphia, PA 19149-3205 | |
(215) 565-5616 | |
Not Available |
Full Name | Meng Shang |
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Gender | Female |
Speciality | Chiropractor |
Location | 6044 Castor Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366709248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC010582 (Pennsylvania) | Primary |
Provider Name | Reboot Integrative Wellness Center |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215324926 PECOS PAC ID: 5395058853 Enrollment ID: O20150714000146 |
Mailing Address | Practice Location Address |
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Meng Shang, 6044 Castor Ave, Philadelphia, PA 19149-3205 Ph: (215) 565-5616 | Meng Shang, 6044 Castor Ave, Philadelphia, PA 19149-3205 Ph: (215) 565-5616 |
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