Provider Demographics
NPI:1306919550
Name:PANG, XINZHU (MD)
Entity type:Individual
Prefix:
First Name:XINZHU
Middle Name:
Last Name:PANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 BARMORE CT
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-8929
Mailing Address - Country:US
Mailing Address - Phone:201-893-5632
Mailing Address - Fax:
Practice Address - Street 1:QUEST DIAGNOSTICS
Practice Address - Street 2:ONE MALCOLM AVE
Practice Address - City:TETERBORO
Practice Address - State:NJ
Practice Address - Zip Code:07068
Practice Address - Country:US
Practice Address - Phone:201-893-5632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213479207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology