Healthcare Provider Details

I. General information

NPI: 1598850943
Provider Name (Legal Business Name): ZHENGLUN ZHU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS STREET
BOSTON MA
02115
US

IV. Provider business mailing address

111 CYPRESS ST
BROOKLINE MA
02445-6002
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-5467
  • Fax: 617-730-5807
Mailing address:
  • Phone: 857-307-0896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD22469
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number154768
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: