| Doctor Name: | DR. MAYLENE CHU |
| NPI Number: | 1073567673 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.M.D. |
| License Number: | 4041 |
| Business Practice Address: | 2 Andover Road Billerica, MA - 01821 |
| Business Phone Number: | 9786678600 |
| Business Fax Number: | 9786632880 |
| Mailing Address: | 2 Andover Road, BILLERICA |
| State: | MA |
| Postal Code: | 01821 |
| Phone Number: | 9786678600 |
| Fax Number: | 9786632880 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | 4041 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |