Chesda Eng, MD | |
632 Broadway Ph 12, New York, NY 10012-2614 | |
(347) 294-3414 | |
Not Available |
Full Name | Chesda Eng |
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Gender | Male |
Speciality | Internal Medicine |
Location | 632 Broadway Ph 12, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871811034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A126904 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Chesda Eng, MD 632 Broadway Ph 12, New York, NY 10012-2614 Ph: (347) 294-3414 | Chesda Eng, MD 632 Broadway Ph 12, New York, NY 10012-2614 Ph: (347) 294-3414 |
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