Healthcare Provider Details

I. General information

NPI: 1154958932
Provider Name (Legal Business Name): AARON CHENG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 CIVIC CENTER BLVD PERELMAN CENTER FOR ADVANCED MEDICINE
PHILADELPHIA PA
19104-5127
US

IV. Provider business mailing address

55 FRUIT ST
BOSTON MA
02114-2621
US

V. Phone/Fax

Practice location:
  • Phone: 215-615-0063
  • Fax:
Mailing address:
  • Phone: 617-726-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD494092
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: