Individual
YINGDA XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 BERGEN ST # D, NEWARK, NJ 07103
(973) 972-4071
Mailing address
30 BERGEN ST RM 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA10532400
NJ
207RI0200X
Infectious Disease Physician
D73639
MD
207RI0200X
Infectious Disease Physician
MTL001916
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0689513
—
NJ
Enumeration date
05/27/2009
Last updated
02/25/2022
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