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Individual
ZETAN NIE
Active
Individual
ZETAN NIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
154266
MA
207R00000X
Internal Medicine Physician
9916
RI
207R00000X
Internal Medicine Physician
Primary
C55996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3181031
—
MA
01
—
J18875
BC
MA
Enumeration date
08/09/2005
Last updated
08/10/2020
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