Provider Information for 1124378823
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DAVID S CHU MD
Organization Subpart: NO
NPI: 1124378823
Last Updated: 2012-09-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1124378823 | ||||||||
| Enumeration Date | 2012-09-11 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: SUSAN RHEE Title: BILLING SPECIALIST Phone: 2014613970 | ||||||||
| Mailing Address | 540 BERGEN BLVD PALISADES PARK, NJ 07650-2322 United States Phone: 201-461-3970 | Fax:201-242-9061 | ||||||||
| Primary Practice Address | 235 PARK AVE S FL 2 NEW YORK, NY 10003-1405 United States Phone: 201-461-3970 | Fax:201-242-9061 | ||||||||
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