Provider Demographics
NPI:1275665135
Name:REN, XINPING (MD)
Entity Type:Individual
Prefix:
First Name:XINPING
Middle Name:
Last Name:REN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 CONGRESS ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-0909
Mailing Address - Country:US
Mailing Address - Phone:617-479-4450
Mailing Address - Fax:617-479-4499
Practice Address - Street 1:700 CONGRESS ST
Practice Address - Street 2:SUITE 301
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-0909
Practice Address - Country:US
Practice Address - Phone:617-479-4450
Practice Address - Fax:617-479-4499
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA230981207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine