Healthcare Provider Details

I. General information

NPI: 1871520486
Provider Name (Legal Business Name): DR. WEIPING ZHAO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 SCHOOL STREET, SUITE 110
PAWTUCKET RI
02860
US

IV. Provider business mailing address

333 SCHOOL ST STE 110
PAWTUCKET RI
02860-5335
US

V. Phone/Fax

Practice location:
  • Phone: 401-305-2379
  • Fax:
Mailing address:
  • Phone: 401-305-2379
  • Fax: 401-722-1521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number220921
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number002609
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK000719
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberDA00254
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: