MEDICARE: DR. DEBORAH CHEUNG 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	207R00000X	Internal Medicine Physician	215934	NY

General Provider Information

NPI Number	:	1255336004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH CHEUNG M.D.

Provider Business Mailing Address
First Line	:	1 DIAMOND HILL RD
Second Line	:	SUMMIT MEDICAL GROUP
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-2104
Country	:	US
Telephone Number	:	908-273-4300
Fax Number	:	908-673-7391

Provider Business Practice Location Address
First Line	:	1 DIAMOND HILL RD
Second Line	:	SUMMIT MEDICAL GROUP
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-2104
Country	:	US
Telephone Number	:	908-277-8898
Fax Number	:	908-673-7391

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/09/2019

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