Individual
DR. CHUN RUI ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
172 KINSLEY ST, NASHUA, NH 03060-3648
(603) 595-3722
Mailing address
C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8695
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03524
NH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
03524
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075085
—
NH
Enumeration date
05/11/2006
Last updated
01/04/2024
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