Individual
DONGMING XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
(215) 662-7011
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
(215) 662-7011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10885300
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD471612
PA
Other
Enumeration date
04/27/2017
Last updated
08/04/2020
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