Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0102205336 | VA |
Y | 111NI0900X | Internist | 0102205336 | VA |
NPI | 1003282427 |
---|---|
Provider Name | Ang Zhang |
First Address | New Haven, CT 06510-3220 |
Second Address | Wallingford, CT 06492-2828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2015 |
Last Update Date | 02/10/2019 |