Jing Xu Md, Pllc | |
8708 Justice Ave Apt 1e Elmhurst NY 11373-4576 | |
(718) 683-9106 | |
(718) 683-9107 |
Full Name | Jing Xu Md, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 8708 Justice Ave Apt 1e, Elmhurst, New York |
Authorized Official Name and Position | Jing Xu (MD) |
Authorized Official Contact | 7186839106 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jing Xu Md, Pllc 8708 Justice Ave Apt 1e Elmhurst NY 11373-4576 Ph: (718) 683-9106 | Jing Xu Md, Pllc 8708 Justice Ave Apt 1e Elmhurst NY 11373-4576 Ph: (718) 683-9106 |
NPI Number | 1346837952 |
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Provider Enumeration Date | 12/29/2020 |
Last Update Date | 04/22/2021 |
Medicare PECOS PAC ID | 0547674103 |
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Medicare Enrollment ID | O20210122001964 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346837952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jing Xu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326459496 PECOS PAC ID: 4385917319 Enrollment ID: I20170913001230 |
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