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Individual

DR. PO PRISCILLA XU

Active
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Individual

DR. PO PRISCILLA XU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
038587
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396764924
NPI
CT
01
—
1891826053
MEDICARE NPI
CT
01
—
250000279
MEDICARE ID-UNSPECIFIED
CT
01
—
C03678
MEDICARE PTAN
CT
Enumeration date
07/18/2006
Last updated
12/18/2024
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