Provider Demographics
NPI:1457472508
Name:TEH, ENGKEAT (LIC AC)
Entity Type:Individual
Prefix:
First Name:ENGKEAT
Middle Name:
Last Name:TEH
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 WILMINGTON RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1161
Mailing Address - Country:US
Mailing Address - Phone:724-656-5668
Mailing Address - Fax:
Practice Address - Street 1:3121 WILMINGTON RD
Practice Address - Street 2:SUITE 2
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1161
Practice Address - Country:US
Practice Address - Phone:724-656-5668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212639171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist