MEDICARE: TIM M ZHENG MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD072996L	PA

General Provider Information

NPI Number	:	1639252182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIM M ZHENG MD

Provider Business Mailing Address
First Line	:	PO BOX 22581 SUITE 300
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-2581
Country	:	US
Telephone Number	:	610-482-4795
Fax Number	:	856-528-3117

Provider Business Practice Location Address
First Line	:	450 CRESSON BLVD
Second Line	:	SUITE 307
City	:	OAKS
State	:	PA
Zip	:	19456-1109
Country	:	US
Telephone Number	:	484-831-0200
Fax Number	:	484-831-0209

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	06/28/2021

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