Provider Demographics
NPI:1881854255
Name:ZHANG, WANGHAI
Entity Type:Individual
Prefix:
First Name:WANGHAI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CENTERVILLE RD
Mailing Address - Street 2:SUMMIT SOUTH, STE 215
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-0200
Mailing Address - Country:US
Mailing Address - Phone:401-921-0252
Mailing Address - Fax:401-921-5945
Practice Address - Street 1:363 HIGHLAND AVE
Practice Address - Street 2:PATHOLOGY DEPARTMENT
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3703
Practice Address - Country:US
Practice Address - Phone:508-679-7398
Practice Address - Fax:508-679-7273
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA242525207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology