Provider Demographics
NPI:1902907199
Name:XIAO, JEAN QIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:QIN
Last Name:XIAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:155 WASHINGTON ST
Mailing Address - Street 2:SUITE 701
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302
Mailing Address - Country:US
Mailing Address - Phone:646-263-7157
Mailing Address - Fax:201-547-4148
Practice Address - Street 1:26 COURT ST
Practice Address - Street 2:SUITE 314
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-0103
Practice Address - Country:US
Practice Address - Phone:718-799-9111
Practice Address - Fax:718-797-9876
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
208282281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital