Healthcare Provider Details

I. General information

NPI: 1013598804
Provider Name (Legal Business Name): DAWEI ZHAO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 NEW CROSSING RD STE 300
READING MA
01867-3271
US

IV. Provider business mailing address

30 NEW CROSSING RD STE 300
READING MA
01867-3271
US

V. Phone/Fax

Practice location:
  • Phone: 781-213-5150
  • Fax:
Mailing address:
  • Phone: 781-213-5150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number1024462
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1024462
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: