Provider Demographics
NPI:1093781445
Name:ZHANG, XUAN Q (MD)
Entity Type:Individual
Prefix:
First Name:XUAN
Middle Name:Q
Last Name:ZHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:Q
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:50 UNION ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2223
Mailing Address - Country:US
Mailing Address - Phone:617-527-5528
Mailing Address - Fax:617-527-7988
Practice Address - Street 1:50 UNION ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2223
Practice Address - Country:US
Practice Address - Phone:617-527-5528
Practice Address - Fax:617-527-7988
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152462207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3171922Medicaid
MA710570OtherHARVARD PILGRIM HEALTH
MAB10341101OtherCIGNA
MAJ18285OtherBLUE CROSS BLUE SHIELDS
MA790578OtherTUFTS HEALTH CARE
MA01-00784OtherUNITED HEALTH CARE
MA101149OtherAETNA
MAG70231Medicare UPIN
MAJ18285OtherBLUE CROSS BLUE SHIELDS