Healthcare Provider Details

I. General information

NPI: 1780661058
Provider Name (Legal Business Name): JIE ZHOU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST BRIGHAM AND WOMEN'S HOSPITAL, ANESTHESIA CWN-L1
BOSTON MA
02115-6110
US

IV. Provider business mailing address

75 FRANCIS ST BRIGHAM AND WOMEN'S HOSPITAL, ANESTHESIA
BOSTON MA
02115
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-8218
  • Fax:
Mailing address:
  • Phone: 617-732-8220
  • Fax: 617-730-2825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number223163
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number21382
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA87677
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: