Individual
DR. LARRY ZHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-1979
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
48650
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036151239
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1019015
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.148216
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME157217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000568
—
OH
05
—
300066810
—
IN
05
—
7100358540
—
KY
Enumeration date
06/04/2009
Last updated
04/23/2024
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