Individual
SHAOHUA XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
480 CENTRAL RD, BLOOMSBURG, PA 17815-3121
(570) 387-5615
(570) 387-6185
Mailing address
480 CENTRAL RD # 61-80, BLOOMSBURG, PA 17815-3121
(570) 387-6150
(570) 387-6185
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
MD481133
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD481133
PA
Other
Enumeration date
04/02/2019
Last updated
07/14/2023
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