TIANXU XIA (Credential# 1641658) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2021. The license status is ACTIVE.
TIANXU XIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062482-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2021. The business address is 20 Ave At Port Imperial Apt 418, West New York, NJ 07093-8421. The current status is active.
| Licensee Name | TIANXU XIA |
| Credential ID | 1641658 |
| Credential Number | 1.062482-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
20 Ave At Port Imperial Apt 418 West New York NJ 07093-8421 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-26 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1665097 | CSP.0071337 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-31 | 2019-05-31 - 2021-02-28 | ACTIVE |
| 1621866 | 1.062358 | Physician/Surgeon | 2019-02-15 | 2019-02-15 - 2020-02-28 | ACTIVE |
| Street Address | 20 AVE AT PORT IMPERIAL APT 418 |
| City | WEST NEW YORK |
| State | NJ |
| Zip Code | 07093-8421 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stanley N Friedman | 7002 Boulevard East 28b, Guttenberg, NJ 07093 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Rachel Alice Nottebart | 25 Ave At Port Imperial Apt# 306, West New York, NJ 07093 | Pharmacist | ~ |
| William Rusheed Thomas | 6050 Jf Kennedy Blvd East, West New York, NJ 07093 | Certified Public Accountant License | 2020-02-18 ~ 2020-12-31 |
| Tuo Zhao | 136 Abbie Ct., Guttenberg, NJ 07093 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Constance J Aparo | 6111 Park Avenue Apt 1 B, West New York, NJ 07093 | Notary Public Appointment | 2017-09-01 ~ 2022-08-31 |
| Wilson Morales | 549-67 St Apt 7, West New York, NJ 07093 | Asbestos Abatement Worker | 2019-07-26 ~ 2020-05-31 |
| Don L Colangelo | 23 Lydia Drive, Guttenberg, NJ 07093 | Architect | 2019-08-01 ~ 2020-07-31 |
| Mark T Mauriello | 5214 Fairview Terrace, West New York, NJ 07093 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary's Bakery Inc | 6813 Park Ave, Guttenberg, NJ 07093 | Bakery | 2007-07-01 ~ 2008-06-30 |
| Jaime A Cordero | 624 57th Street, Apt. 3, West New York, NJ 07093 | Asbestos Abatement Worker | ~ |
| Find all Licenses in zip 07093 | |||
| City | WEST NEW YORK |
| Zip Code | 07093 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + WEST NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zhejiang Mengshen Home Furnishings Co Ltd | No 1 Tianxu Rd Binhai Economic Dev Zone, Cixi Zhejiang, CH 315331 | Manufacturer of Bedding & Upholstered Furniture | 2018-07-05 ~ 2018-07-05 |
| Jia Wei Tan | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Tao Zuo | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-25 ~ 2020-06-30 |
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Yan Zheng | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-06-27 ~ 2020-06-30 |
| Ian L Baine | 420 Fountain St, New Haven, CT 06515 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on TIANXU XIA.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).