MEDICARE: LIN ZHENG

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	C1-0024131	DE

General Provider Information

NPI Number	:	1598095747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIN ZHENG

Provider Business Mailing Address
First Line	:	414 LAUREL CREEK BLVD
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-3968
Country	:	US
Telephone Number	:	302-317-1531
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 PHILADELPHIA PIKE STE A
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2431
Country	:	US
Telephone Number	:	302-317-1531
Fax Number	:	302-291-4986

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

Provider Enumeration Date	:	01/12/2010
Last Update Date	:	11/11/2022

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Directions to “ LIN ZHENG ” Practice Location

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