Individual provider · Type 1 NPI

Diana Peng, MS, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1861680647 Active

Practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Call (215) 456-7890 Map

Mailing address

101 E Olney Ave, Suite 400
Philadelphia, PA 19120-2421

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA053050 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1861680647

Diana Peng, MS, PA-C's National Provider Identifier is 1861680647, issued on Oct 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 22, 2011.