Individual
JIANCHAO XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
950 CAMPBELL AVE, BLDG #3, ROOM E203, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
79 BETHANY FARMS ROAD, BETHANY, CT 06524-0079
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036656
CT
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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