Individual
SHAOKUN XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, PH5-133, NEW YORK, NY 10032-3720
(212) 305-3226
(212) 305-3204
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA11069800
NJ
Other
Enumeration date
03/30/2017
Last updated
12/22/2023
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