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1861680647
DIANA PENG
PHILADELPHIA, PA
NPI
1861680647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA053050)
Enumeration Date
2007-10-05
Last Update Date
2011-11-22
Business Address
Miss DIANA PENG MS, PA-C
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7890
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Mailing Address
Miss DIANA PENG MS, PA-C
101 E OLNEY AVE SUITE 400
PHILADELPHIA, PA 19120-2421
Phone number: 215-456-7000
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