MEDICARE: JENNIFER QI ZHANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086X0206X	Surgical Oncology Physician	MD475272	PA

General Provider Information

NPI Number	:	1508160300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER QI ZHANG

Provider Business Mailing Address
First Line	:	3400 SPRUCE ST
Second Line	:	SILVERSTEIN FLOOR 4
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4229
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4238
Country	:	US
Telephone Number	:	215-662-2626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2011
Last Update Date	:	01/21/2026

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