Individual
BOYAN XIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BERGEN ST RM I-248, NEWARK, NJ 07103-2496
(973) 972-2449
Mailing address
150 BERGEN ST RM I-248, NEWARK, NJ 07103-2496
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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