Provider Demographics
NPI:1114989613
Name:CHENG, CINDY S (MD)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:S
Last Name:CHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1699
Mailing Address - Country:US
Mailing Address - Phone:978-851-4141
Mailing Address - Fax:978-788-7911
Practice Address - Street 1:600 CLARK RD
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1699
Practice Address - Country:US
Practice Address - Phone:978-851-4141
Practice Address - Fax:978-788-7911
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA735362OtherAETNA
MA043476172OtherPRIVARE HEALTH CARE SYST
MAJ17707OtherBLUE CROSS BLUE SHIELD
MA3164721Medicaid
MA71479OtherHARVARD PILGRIM
MA01-00705OtherUNITED HEALTHCARE
MA080157317OtherRAILROAD MEDICARE
MD31750OtherFALLON COMMUNITY HEALTH
MA152455OtherTUFTS HEALTH PLAN
MA345231OtherCIGNA
MA043476172OtherPRIVARE HEALTH CARE SYST
MA152455OtherTUFTS HEALTH PLAN