Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 242277 | MA |
Y | 2080P0201X | Pediatric Allergist | 242277 | MA |
NPI | 1285821777 |
---|---|
Provider Name | Joseph S Zhou |
First Address | Fall River, MA 02721-3005 |
Second Address | Fall River, MA 02721-3005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2007 |
Last Update Date | 07/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110091555A | (05) | MA |