Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | 22D0069726 | MA |
Y | 170100000X | Medical Geneticist | 22D0650245 | MA |
NPI | 1003096330 |
---|---|
Provider Name | Dr. Hui Zhu |
First Address | Westborough, MA 01581-1771 |
Second Address | Westborough, MA 01581-1771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2007 |
Last Update Date | 29/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2005207 | ABMG (01) | |
ZHUXH1 | NEW YORK STATE DEPARTMENT OF HEALTH CERTIFICATE OF QUALIFICATION (01) | NY |