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NPI Code Detail

MEDICARE: XIBEI JIA MD

MEDICARE: XIBEI JIA MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician288194MA

General Provider Information

NPI Number : 1982024303
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIBEI JIA MD
Provider Business Mailing Address
First Line : 119 BELMONT ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-2903
Country : US
Telephone Number : 508-334-6690
Fax Number :
Provider Business Practice Location Address
First Line : 110 MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3145
Country : US
Telephone Number : 508-771-9550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2014
Last Update Date : 10/12/2021

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