Provider Demographics
NPI:1417931742
Name:CHENG, ANGELA K (DPM)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:K
Last Name:CHENG
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:310 CENTRAL AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2838
Mailing Address - Country:US
Mailing Address - Phone:973-337-2893
Mailing Address - Fax:201-228-1689
Practice Address - Street 1:310 CENTRAL AVE STE 303
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2838
Practice Address - Country:US
Practice Address - Phone:973-337-2893
Practice Address - Fax:201-228-1689
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006065-1213E00000X
NJ25MD00285600213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist