Provider Demographics
NPI:1992184931
Name:DR ZHUS WOUND CARE
Entity Type:Organization
Organization Name:DR ZHUS WOUND CARE
Other - Org Name:DR. ZHU'S WOUND CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-927-1364
Mailing Address - Street 1:1271 FLANDERS RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-1614
Mailing Address - Country:US
Mailing Address - Phone:203-927-1364
Mailing Address - Fax:
Practice Address - Street 1:1271 FLANDERS RD
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-1614
Practice Address - Country:US
Practice Address - Phone:203-927-1364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046339305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service