Healthcare Provider Details
I. General information
NPI: 1851547889
Provider Name (Legal Business Name): BINGHUA ZHU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/11/2008
Last Update Date: 05/18/2020
Certification Date: 05/18/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
55 MORRIS AVE STE 216
SPRINGFIELD NJ
07081-1422
US
IV. Provider business mailing address
55 MORRIS AVE STE 216
SPRINGFIELD NJ
07081-1422
US
V. Phone/Fax
- Phone: 973-379-5980
- Fax: 888-873-8728
- Phone: 973-379-5980
- Fax: 888-873-8728
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 25MA08439400 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | MD445110 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 25MA08439400 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: