Provider Demographics
NPI:1861067407
Name:NG, SZE JIA (MD)
Entity type:Individual
Prefix:
First Name:SZE JIA
Middle Name:
Last Name:NG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE MEDICAL CENTER BLVD
Mailing Address - Street 2:DEPARTMENT OF MEDICINE 3 EAST
Mailing Address - City:UPLAND
Mailing Address - State:PA
Mailing Address - Zip Code:19013
Mailing Address - Country:US
Mailing Address - Phone:610-447-6370
Mailing Address - Fax:610-447-6373
Practice Address - Street 1:ONE MEDICAL CENTER BLVD
Practice Address - Street 2:DEPARTMENT OF MEDICINE 3 EAST
Practice Address - City:UPLAND
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:610-447-6370
Practice Address - Fax:610-447-6373
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2022-11-21
Deactivation Date:2022-11-16
Deactivation Code:
Reactivation Date:2022-11-21
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMT222336390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program