Provider Demographics
NPI:1053659888
Name:VICKI H.ZHU, D.M.D., PC
Entity type:Organization
Organization Name:VICKI H.ZHU, D.M.D., PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:HUI
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-531-8911
Mailing Address - Street 1:6 ESSEX CENTER DR STE 204
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2906
Mailing Address - Country:US
Mailing Address - Phone:978-531-8911
Mailing Address - Fax:978-532-5520
Practice Address - Street 1:6 ESSEX CENTER DR STE 204
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2906
Practice Address - Country:US
Practice Address - Phone:978-531-8911
Practice Address - Fax:978-532-5520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN20801261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental