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General NPI Number Information
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NPI Number | 1417890104
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Entity Type | Individual
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Provider Name | MAX ZHONG MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 4461 STATE ROUTE 159 STE A
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-6000
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Country | US
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Telephone | 740-779-4900
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Fax | 740-779-4909
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Provider Business Mailing Address
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Address Line | 2164 MACKAY AVE
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City | FORT LEE
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State | NJ
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Zip | 07024-5035
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Country | US
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Telephone | 201-588-0712
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 57.260082
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License Number State | OH
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