Basic Information
Provider Information
NPI: 1760692206
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHU
FirstName: ZHI-GANG
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 236 COUNTRY RD
Address2:  
City: BERWYN
State: PA
PostalCode: 193121842
CountryCode: US
TelephoneNumber: 6106448666
FaxNumber:  
Practice Location
Address1: 2500 BERNVILLE RD
Address2:  
City: READING
State: PA
PostalCode: 196059453
CountryCode: US
TelephoneNumber: 6103782000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/23/2007
LastUpdateDate: 01/18/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD431053PAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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