MEDICARE: HUA ZHU, LLC

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	1223G0001X	General Practice Dentistry	DI022597	NJ

General Provider Information

NPI Number	:	1679660831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUA ZHU, LLC

Provider Business Mailing Address
First Line	:	1390 US HIGHWAY 22
Second Line	:	SUITE 201
City	:	LEBANON
State	:	NJ
Zip	:	08833-2217
Country	:	US
Telephone Number	:	908-236-7800
Fax Number	:	908-236-8100

Provider Business Practice Location Address
First Line	:	1390 US HIGHWAY 22
Second Line	:	SUITE 201
City	:	LEBANON
State	:	NJ
Zip	:	08833-2217
Country	:	US
Telephone Number	:	908-236-7800
Fax Number	:	908-236-8100

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. HUA ZHU
Credential	:	DMD
Telephone Number	:	908-236-7800

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	08/22/2020

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