MEDICARE: PENG CONSULTING INC

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	222042-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174849947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENG CONSULTING INC

Provider Business Mailing Address
First Line	:	PO BOX 492
Second Line	:	PO BOX 492
City	:	MORRIS PLAINS
State	:	NJ
Zip	:	07950-0492
Country	:	US
Telephone Number	:	646-220-0050
Fax Number	:	646-395-1911

Provider Business Practice Location Address
First Line	:	855 LEHIGH AVE
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7631
Country	:	US
Telephone Number	:	646-220-0050
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MINZHONG PENG
Credential	:	MD
Telephone Number	:	646-220-0050

Provider Enumeration Date	:	04/19/2010
Last Update Date	:	09/20/2012

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Directions to “PENG CONSULTING INC ” Practice Location

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