Individual
GARY S XIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 N BROAD ST, 5TH FL, PHILADELPHIA, PA 19102-1121
(215) 762-3900
(215) 762-3846
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 255-3828
(215) 255-3577
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
MD426406
PA
208600000X
Surgery Physician
Primary
MD426406
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101877007
—
PA
Enumeration date
02/16/2007
Last updated
03/22/2021
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