MEDICARE: WENJING ZENG 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	2086S0105X	Surgery of the Hand (Surgery) Physician	129878	OH

General Provider Information

NPI Number	:	1417223454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENJING ZENG M.D.

Provider Business Mailing Address
First Line	:	6480 HARRISON AVE STE 201
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7961
Country	:	US
Telephone Number	:	513-354-7785
Fax Number	:	513-354-7651

Provider Business Practice Location Address
First Line	:	538 OAK ST STE 200
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2554
Country	:	US
Telephone Number	:	513-354-3700
Fax Number	:	513-699-1435

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

Provider Enumeration Date	:	03/23/2012
Last Update Date	:	08/31/2021

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