Provider Demographics
NPI:1669895058
Name:ZHOU, XI REN
Entity type:Individual
Prefix:
First Name:XI REN
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 BANK ST STE 106
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3659
Mailing Address - Country:US
Mailing Address - Phone:908-522-1926
Mailing Address - Fax:908-522-0729
Practice Address - Street 1:18 BANK ST STE 106
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3659
Practice Address - Country:US
Practice Address - Phone:908-522-1926
Practice Address - Fax:908-522-0729
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00005900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist