Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301115728 | MI |
Y | 2080P0204X | Pediatric Emergency Doctor | MD474844 | PA |
NPI | 1043605819 |
---|---|
Provider Name | Roxanne Cheung |
First Address | Allentown, PA 18103-5622 |
Second Address | Allentown, PA 18103-6202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 14/09/2021 |