Healthcare Provider Details

I. General information

NPI: 1528579232
Provider Name (Legal Business Name): MIN ZHU D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2017
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 MAIN DUNSTABLE RD STE 103
NASHUA NH
03060-3642
US

IV. Provider business mailing address

159 MAIN DUNSTABLE RD STE 103
NASHUA NH
03060-3642
US

V. Phone/Fax

Practice location:
  • Phone: 603-882-7201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN1857783
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number04361
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberNH04361
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: