Provider Demographics
NPI:1679579254
Name:CHENG, HARVEY S (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:S
Last Name:CHENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:401 N 17TH ST
Mailing Address - Street 2:STE 109
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5049
Mailing Address - Country:US
Mailing Address - Phone:610-821-8806
Mailing Address - Fax:610-821-8854
Practice Address - Street 1:401 N 17TH ST
Practice Address - Street 2:STE 109
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5049
Practice Address - Country:US
Practice Address - Phone:610-821-8806
Practice Address - Fax:610-821-8854
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD021464E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C28452Medicare UPIN
051090Medicare ID - Type UnspecifiedMEDICARE