Provider Demographics
NPI:1689384406
Name:TENKIANG, ALOYS CHIAFIE (NP)
Entity Type:Individual
Prefix:
First Name:ALOYS
Middle Name:CHIAFIE
Last Name:TENKIANG
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S DUPONT BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1552
Mailing Address - Country:US
Mailing Address - Phone:302-297-7606
Mailing Address - Fax:
Practice Address - Street 1:200 S DUPONT BLVD STE 104
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1552
Practice Address - Country:US
Practice Address - Phone:302-297-7606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-02
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJL8-0010375363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty