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NPI Code Detail

MEDICARE: CARMEN LUONG

MEDICARE: CARMEN LUONG
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1447832753
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN LUONG
Provider Business Mailing Address
First Line : 728 ANNIN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-5109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 E CITY AVE STE 210
Second Line :
City : BALA CYNWYD
State : PA
Zip : 19004-1734
Country : US
Telephone Number : 856-827-7630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2021
Last Update Date : 04/26/2021

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Directions to “ CARMEN LUONG ” Practice Location

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