Provider Demographics
NPI:1013118637
Name:ZENG, YU GRACE (MD)
Entity type:Individual
Prefix:DR
First Name:YU
Middle Name:GRACE
Last Name:ZENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8531 GREENWAY BLVD
Mailing Address - Street 2:APT 102
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-4771
Mailing Address - Country:US
Mailing Address - Phone:862-324-1183
Mailing Address - Fax:
Practice Address - Street 1:8531 GREENWAY BLVD
Practice Address - Street 2:APT 102
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-4771
Practice Address - Country:US
Practice Address - Phone:862-324-1183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA086832002085R0202X
NY2553322085R0202X
CAA1102872085R0202X
MA2421072085R0202X
IL0361246822085R0202X
FLME1059132085R0202X
PAMD4386302085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology