Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MA07562500 | NJ |
NPI | 1033281522 |
---|---|
Provider Name | Peter K Chiang |
First Address | Asbury Park, NJ 07712 |
Second Address | Asbury Park, NJ 07712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 24/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004546 | (05) | NJ |