Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 25MA09555500 | NJ |
Y | 111NI0900X | Internist | 25MA09555500 | NJ |
NPI | 1003177130 |
---|---|
Provider Name | Dr. Xiaoning Joanie Zhu |
First Address | Newark, NJ 07104-4309 |
Second Address | Newark, NJ 07104-4309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 10/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8453WU | UNITED HEALTHCARE (01) | NJ |