MEDICARE: JING ZHANG

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	122300000X	Dentist	DN1855842	MA

General Provider Information

NPI Number	:	1780967612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JING ZHANG

Provider Business Mailing Address
First Line	:	5 SILVER HILL LN APT 6
Second Line	:
City	:	NATICK
State	:	MA
Zip	:	01760-3735
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	68 STAFFORD ST STE 1
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01603-1450
Country	:	US
Telephone Number	:	617-894-2408
Fax Number	:

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

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

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Directions to “ JING ZHANG ” Practice Location

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