| Doctor Name: | JIAN JUN DENG |
| NPI Number: | 1710214143 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 003509 |
| Business Practice Address: | 631 Utica Ave 1st Floor Brooklyn, NY - 112032209 |
| Business Phone Number: | 7182215015 |
| Business Fax Number: | 7182215013 |
| Mailing Address: | 632 Utica Avenue, 1st Floor BROOKLYN |
| State: | NY |
| Postal Code: | 11203 |
| Phone Number: | 7182215015 |
| Fax Number: | 7182215013 |
| NPI Enumeration Date: | 11/05/2009 |
| NPI Last Update Date: | 11/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 003509 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |