Individual
DR. XIAOLU XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
820 PARK AVE # 1B, NEW YORK, NY 10021-2758
(212) 300-9873
Mailing address
92 MILLBURN AVE # 132, SPRINGFIELD, NJ 07081-4300
(203) 492-9485
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
329438
NY
208200000X
Plastic Surgery Physician
ME169674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ME169674
—
FL
Enumeration date
03/28/2018
Last updated
12/23/2024
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