Healthcare Provider Details

I. General information

NPI: 1003096330
Provider Name (Legal Business Name): HUI ZHU PH.D., FACMG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2007
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 COMPUTER DR
WESTBOROUGH MA
01581-1771
US

IV. Provider business mailing address

3400 COMPUTER DR
WESTBOROUGH MA
01581-1771
US

V. Phone/Fax

Practice location:
  • Phone: 508-389-6678
  • Fax: 508-389-5548
Mailing address:
  • Phone: 508-389-6678
  • Fax: 508-389-5548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number22D0069726
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number22D0650245
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: