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NPI Code Detail

MEDICARE: DR. XING ZHU DMD

MEDICARE: DR. XING ZHU DMD
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry22DI02804900NJ
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry06890NJ

General Provider Information

NPI Number : 1528585569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. XING ZHU DMD
Provider Business Mailing Address
First Line : 28 PAULDING TER
Second Line :
City : DANBURY
State : CT
Zip : 06810-5135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 779 SPRINGFIELD AVE
Second Line :
City : SUMMIT
State : NJ
Zip : 07901-2332
Country : US
Telephone Number : 908-739-3128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2017
Last Update Date : 05/07/2024

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