Healthcare Provider Details

I. General information

NPI: 1811978695
Provider Name (Legal Business Name): QINGBING ZHU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 04/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST YNHH TOMPKINS BUILDING, 3RD FL
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

20 YORK ST YNHH TOMPKINS BUILDING, 3RD FL
NEW HAVEN CT
06510-3220
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-2802
  • Fax: 203-785-6664
Mailing address:
  • Phone: 203-785-2802
  • Fax: 203-785-6664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number039726
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: