Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD60274573 | WA |
NPI | 1003075300 |
---|---|
Provider Name | Dr. Justin Cha-Cheng Ng |
First Address | Tacoma, WA 98415-0215 |
Second Address | Tacoma, WA 98405-4234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 06/02/2013 |