Basic Information
Provider Information
NPI: 1669421855
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHANG
FirstName: RONG
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 E UNIVERSITY PKWY
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212182829
CountryCode: US
TelephoneNumber: 4105542000
FaxNumber:  
Practice Location
Address1: 201 E UNIVERSITY PKWY
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212182829
CountryCode: US
TelephoneNumber: 4105542000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/08/2006
LastUpdateDate: 08/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XD0055059MDY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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