Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 228751 | NY |
N | 111NI0900X | Internist | 228751 | NY |
N | 207RH0000X | Hematologist | 228751 | NY |
Y | 207RX0202X | Medical Oncology | 228751 | NY |
NPI | 1376623926 |
---|---|
Provider Name | Jia Ruan |
First Address | New York, NY 10021 |
Second Address | New York, NY 10021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 16/09/2011 |