Healthcare Provider Details

I. General information

NPI: 1114412095
Provider Name (Legal Business Name): KEN ZHONGYU ZHANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2018
Last Update Date: 06/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 EASTON AVE
BETHLEHEM PA
18017-4204
US

IV. Provider business mailing address

16 GREEN ST
FREEMANSBURG PA
18017-7214
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-3550
  • Fax: 833-822-5230
Mailing address:
  • Phone: 609-670-2186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMT216672
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: