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Organization
SPECIAL PROCEDURES
Active
Organization
SPECIAL PROCEDURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAN ZHANG DO (MANAGER/MEMBER)
(917) 536-8500
Entity
Organization
Contact information
Practice address
159 PALISADE AVE, JERSEY CITY, NJ 07306-1113
(917) 960-2882
Mailing address
109 GRAND ST APT 402, HOBOKEN, NJ 07030-8542
(917) 536-8500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
12/14/2023
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