Individual
BAOGANG JONATHAN XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 736-1621
Mailing address
PO BOX 844723, BOSTON, MA 02284-4723
(866) 759-4524
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101266402
VA
Other
Enumeration date
04/23/2014
Last updated
02/02/2022
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