Healthcare Provider Details

I. General information

NPI: 1083932578
Provider Name (Legal Business Name): YU ZHANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SMILOW CANCER HOSPITAL, 20 YORK STREET NP4
NEW HAVEN CT
06510
US

IV. Provider business mailing address

YALE MEDICAL SCHOOL 333 CEDAR ST. PO BOX #208028
NEW HAVEN CT
06510-3220
US

V. Phone/Fax

Practice location:
  • Phone: 203-200-5864
  • Fax: 203-688-3501
Mailing address:
  • Phone: 203-785-7870
  • Fax: 203-785-4116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number56866
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: