Provider Demographics
NPI:1457362386
Name:ZHU, JIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JIE
Middle Name:
Last Name:ZHU
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 1:2500 BERNVILLE RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-9453
Mailing Address - Country:US
Mailing Address - Phone:610-378-2557
Mailing Address - Fax:610-208-8839
Practice Address - Street 1:2494 BERNVILLE RD STE 200
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-9467
Practice Address - Country:US
Practice Address - Phone:610-378-2557
Practice Address - Fax:610-208-8839
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0007098208VP0014X
PAMD420090208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEDECF8249OtherRAILROAD MEDICARE
MDMDCI2358OtherRAILROAD MEDICARE
DE1000038034Medicaid
DE017643M28Medicare ID - Type Unspecified
DEI36771Medicare UPIN