Individual
MENGMENG XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(443) 760-0510
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
314432-01
NY
Other
Enumeration date
03/19/2019
Last updated
10/04/2022
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