Individual
MINGMING XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W 168TH ST, BOX 83, PH20-312, NEW YORK, NY 10032
(212) 342-4776
Mailing address
630 W 168TH ST, BOX 83, PH20-312, NEW YORK, NY 10032-3725
(212) 342-4776
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A150091
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2009
Last updated
12/01/2021
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