MEDICARE: SONYA K TING

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	183500000X	Pharmacist	RPO44139L	PA

General Provider Information

NPI Number	:	1831472695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA K TING

Provider Business Mailing Address
First Line	:	404 BRISTER ROAD
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020
Country	:	US
Telephone Number	:	215-533-4608
Fax Number	:

Provider Business Practice Location Address
First Line	:	1607 BRIDGE STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-1637
Country	:	US
Telephone Number	:	215-537-0169
Fax Number	:

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

Provider Enumeration Date	:	09/27/2011
Last Update Date	:	10/22/2011

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Directions to “ SONYA K TING ” Practice Location

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