Doctor Name: | DR. NINRONG XUE GIEBISCH |
NPI Number: | 1275657223 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D.,PH.D. |
License Number: | 036383 |
Business Practice Address: | 200 Watson Blvd Stratford, CT - 066157127 |
Business Phone Number: | 2033814917 |
Business Fax Number: | 2033814004 |
Mailing Address: | 85 Forest Glen Dr, WOODBRIDGE |
State: | CT |
Postal Code: | 065251422 |
Phone Number: | 2033875581 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036383 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |