MEDICARE: DR. HEIDI CHING 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	207V00000X	Obstetrics & Gynecology Physician	MD461862	PA
2	207V00000X	Obstetrics & Gynecology Physician	25MA10413200	NJ

General Provider Information

NPI Number	:	1962813808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEIDI CHING M.D

Provider Business Mailing Address
First Line	:	700 SPRUCE ST STE 200
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-4023
Country	:	US
Telephone Number	:	215-829-3525
Fax Number	:	215-829-3473

Provider Business Practice Location Address
First Line	:	1865 ROUTE 70 EAST
Second Line	:	SUITE 250
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-2013
Country	:	US
Telephone Number	:	856-429-0400
Fax Number	:	856-396-3404

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

Provider Enumeration Date	:	05/14/2014
Last Update Date	:	12/01/2022

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