Provider Demographics
NPI:1376523845
Name:SHEU, ZU-RONG (MD)
Entity Type:Individual
Prefix:
First Name:ZU-RONG
Middle Name:
Last Name:SHEU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7904 4TH AVE
Mailing Address - Street 2:1 FL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3907
Mailing Address - Country:US
Mailing Address - Phone:718-238-3376
Mailing Address - Fax:718-491-1410
Practice Address - Street 1:7904 4TH AVE
Practice Address - Street 2:1 FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3907
Practice Address - Country:US
Practice Address - Phone:718-238-3376
Practice Address - Fax:718-491-1410
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189516208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics