Individual
BO XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-4067
(203) 276-7063
Mailing address
PO BOX 60100, CHARLESTON, SC 29419-0100
(800) 887-7338
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
159935
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558351759
—
CT
Enumeration date
10/27/2005
Last updated
08/13/2010
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