DIANA PENG

PHILADELPHIA, PA
NPI1861680647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PA  MA053050)
Enumeration Date2007-10-05
Last Update Date2011-11-22
Business Address
Miss DIANA PENG MS, PA-C
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7890
Mailing Address
Miss DIANA PENG MS, PA-C
101 E OLNEY AVE SUITE 400
PHILADELPHIA, PA 19120-2421
Phone number: 215-456-7000