MEDICARE: DR. PETER CHIEN SHIN NING 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	207L00000X	Anesthesiology Physician	MD60511538	WA

General Provider Information

NPI Number	:	1760639272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER CHIEN SHIN NING M.D.

Provider Business Mailing Address
First Line	:	301 WASHINGTON ST APT 3416
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-4016
Country	:	US
Telephone Number	:	714-381-2433
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 WASHINGTON ST APT 3416
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-4016
Country	:	US
Telephone Number	:	714-381-2433
Fax Number	:

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

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	11/17/2014

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