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NPI Code Detail

MEDICARE: BAOHUI GU

MEDICARE: BAOHUI GU
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
1183500000XPharmacist064381NY

General Provider Information

NPI Number : 1972061356
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAOHUI GU
Provider Business Mailing Address
First Line : 1366 80TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4901 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-1521
Country : US
Telephone Number : 718-252-3791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2019
Last Update Date : 03/05/2019

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Directions to “ BAOHUI GU ” Practice Location

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