Provider Demographics
NPI:1881787604
Name:XU, WEIZHEN (MD)
Entity type:Individual
Prefix:DR
First Name:WEIZHEN
Middle Name:
Last Name:XU
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 1:254 EASTON AVE
Mailing Address - Street 2:MOB-3
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1766
Mailing Address - Country:US
Mailing Address - Phone:732-745-8574
Mailing Address - Fax:732-514-1956
Practice Address - Street 1:254 EASTON AVE
Practice Address - Street 2:MOB-3
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1766
Practice Address - Country:US
Practice Address - Phone:732-745-8574
Practice Address - Fax:732-514-1956
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0761312080P0205X
PAMD071426L2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2521981OtherUNITED HEALTHCARE
NJ38684OtherUNIVERSITY HEALTH PLAN
NJ2221776000OtherAMERIHEALTH/KEYSTONE/IBC
NJP3043452OtherOXFORD
NJ010005553OtherAMERICHOICE
NJ3307368OtherAETNA
NJ3K5985OtherHEALTHNET, INC
NJ38684OtherUNIVERSITY HEALTH PLAN
H99122Medicare UPIN