Provider Demographics
NPI:1932722550
Name:NOVOGENE CORPORATION INC
Entity type:Organization
Organization Name:NOVOGENE CORPORATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIFANG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-463-8381
Mailing Address - Street 1:8801 FOLSOM BLVD STE 290
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-3265
Mailing Address - Country:US
Mailing Address - Phone:916-252-0068
Mailing Address - Fax:
Practice Address - Street 1:2921 STOCKTON BLVD STE 1810
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2305
Practice Address - Country:US
Practice Address - Phone:916-252-0068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics