Xu, Bo

Xu, Bo is an individual health care provider with primary practice located at 30 Shelburne Rd , Stamford CT 06902-3628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Xu, Bo can be contacted via phone (203) 276-4067.

Contact Information

Primary practice address
30 Shelburne Rd Stamford CT 06902-3628
Fax: (203) 276-7063
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 159935 Massachusetts

Profile Details

NPI number 1558351759
LBN Legal business name Xu, Bo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Aug 13th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558351759 NPPES
Connecticut MEDICAID 1558351759

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