Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 25MA06569900 | NJ |
NPI | 1346314507 |
---|---|
Provider Name | Xue Ming |
First Address | Edison, NJ 08820-3947 |
Second Address | Edison, NJ 08820-3947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 27/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7328303 | (05) | NJ |
G53787 | (02) |