Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 25MA09269900 | NJ |
Y | 111NI0900X | Internist | 25MA09269900 | NJ |
NPI | 1932446374 |
---|---|
Provider Name | Miaoying Zhang |
First Address | Jersey City, NJ 07306-4644 |
Second Address | Lyndhurst, NJ 07071-1217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2013 |
Last Update Date | 17/01/2014 |