Basic Information
Provider Information
NPI: 1417322256
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHANG
FirstName: PING
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 121 COBBLE CREEK CIR
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080031837
CountryCode: US
TelephoneNumber: 8455480081
FaxNumber:  
Practice Location
Address1: 111 CONTINENTAL DR
Address2: SUITE 406
City: NEWARK
State: DE
PostalCode: 197134306
CountryCode: US
TelephoneNumber: 3023682630
FaxNumber: 3023681271
Other Information
ProviderEnumerationDate: 12/04/2015
LastUpdateDate: 07/18/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XC1-0011726DEY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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