Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD467637 | PA |
Y | 207QA0401X | Family Doctor - Addiction Medicine | MD467637 | PA |
NPI | 1568810919 |
---|---|
Provider Name | Dr. Allen Yao-Lun Cheng |
First Address | Philadelphia, PA 19122 |
Second Address | Philadelphia, PA 19122 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2016 |
Last Update Date | 10/08/2021 |