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Individual
JINGBO ZHAO
Active
Individual
JINGBO ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
257808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03338103
—
NY
01
—
60257808
NYSED
NY
Enumeration date
09/08/2010
Last updated
11/09/2021
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