Individual
XIAOWEI XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 662-6503
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-6503
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD072192L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019061700003
—
PA
Enumeration date
06/21/2006
Last updated
09/01/2015
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