Provider Demographics
NPI:1962778746
Name:WANG, CHENG
Entity type:Individual
Prefix:
First Name:CHENG
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 RHOADS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073
Mailing Address - Country:US
Mailing Address - Phone:855-200-8228
Mailing Address - Fax:855-379-9435
Practice Address - Street 1:3545 RHOADS AVE
Practice Address - Street 2:
Practice Address - City:NEWTON SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073
Practice Address - Country:US
Practice Address - Phone:855-200-8228
Practice Address - Fax:855-379-9435
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000137171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist