MEDICARE: DR. BENG CHEAH LIGHT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	D0034922	MD

General Provider Information

NPI Number	:	1770595787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENG CHEAH LIGHT M.D.

Provider Business Mailing Address
First Line	:	46 WALNUT DR
Second Line	:
City	:	ORWIGSBURG
State	:	PA
Zip	:	17961-9162
Country	:	US
Telephone Number	:	570-294-0242
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 E LEE ST
Second Line	:	2106
City	:	BALTIMORE
State	:	MD
Zip	:	21202-6003
Country	:	US
Telephone Number	:	410-752-1873
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	05/31/2016

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