Provider Demographics
NPI:1942257290
Name:ZHOU, REN (MD)
Entity Type:Individual
Prefix:
First Name:REN
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2292
Mailing Address - Country:US
Mailing Address - Phone:732-906-8662
Mailing Address - Fax:732-906-8602
Practice Address - Street 1:233 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2292
Practice Address - Country:US
Practice Address - Phone:732-906-8662
Practice Address - Fax:732-906-8602
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA070657207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9129707Medicaid
NJ9129707Medicaid
NJ052175Medicare PIN