Healthcare Provider Details

I. General information

NPI: 1497085278
Provider Name (Legal Business Name): JING ZHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 S BRYN MAWR AVE
BRYN MAWR PA
19010
US

IV. Provider business mailing address

PO BOX 347490
PITTSBURGH PA
15251
US

V. Phone/Fax

Practice location:
  • Phone: 484-337-4570
  • Fax: 610-526-3768
Mailing address:
  • Phone: 888-625-4685
  • Fax: 302-731-2496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD447741
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: