Provider Demographics
NPI:1619987823
Name:ZHANG, ZHONGYU (MD)
Entity Type:Individual
Prefix:
First Name:ZHONGYU
Middle Name:
Last Name:ZHANG
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 1:1245 HIGHLAND AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3714
Mailing Address - Country:US
Mailing Address - Phone:215-481-6480
Mailing Address - Fax:215-887-9358
Practice Address - Street 1:1245 HIGHLAND AVE STE 207
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3714
Practice Address - Country:US
Practice Address - Phone:215-481-6480
Practice Address - Fax:215-887-9358
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD060178L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
2434901003OtherCIGNA HEALTHCARE
2468229OtherAETNA HEALTHCARE
PA0840355000OtherIBC HMO
PA0332361000OtherIBC HMO
PAE05070OtherAMERIHEALTH
7737224OtherAETNA US HEALTHCARE
PAE79911OtherAMERIHEALTH
PA0840355000OtherIBC HMO
PAE79911OtherAMERIHEALTH