Doctor Name: | DR. JIE XU |
NPI Number: | 1588895767 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD446024 |
Business Practice Address: | 1098 W Baltimore Pike Suite 3106 Riddle Health Center 3 Media, PA - 190635139 |
Business Phone Number: | 6108916240 |
Business Fax Number: | 6108916244 |
Mailing Address: | 1098 W Baltimore Pike, Suite 3106 Riddle Health Center 3 MEDIA |
State: | PA |
Postal Code: | 190635139 |
Phone Number: | 6108916240 |
Fax Number: | 6108916244 |
NPI Enumeration Date: | 08/05/2009 |
NPI Last Update Date: | 12/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD446024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |