Provider Demographics
NPI:1902630932
Name:ZHANG, FANG
Entity type:Individual
Prefix:
First Name:FANG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:69 PHEASANT RD
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-9604
Mailing Address - Country:US
Mailing Address - Phone:207-602-8019
Mailing Address - Fax:
Practice Address - Street 1:7 BOW ST STE 1
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-2534
Practice Address - Country:US
Practice Address - Phone:978-276-3008
Practice Address - Fax:978-276-3006
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6014198171100000X
NH357171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist