Provider Demographics
NPI:1568898989
Name:VO, CHRISTINA TAING (AGPCBC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:TAING
Last Name:VO
Suffix:
Gender:F
Credentials:AGPCBC
Other - Prefix:
Other - First Name:CHENG
Other - Middle Name:GUEK
Other - Last Name:TAING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGPCBC
Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:3 DULLES
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:267-432-2754
Mailing Address - Fax:
Practice Address - Street 1:1500 SPRING GARDEN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-4067
Practice Address - Country:US
Practice Address - Phone:800-291-0396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013156363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health