| Doctor Name: | CULLEN C CHIU |
| NPI Number: | 1235503863 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ANP |
| License Number: | 26NJ00603200 |
| Business Practice Address: | 30 Landau Rd Basking Ridge, NJ - 079203717 |
| Business Phone Number: | 7328419338 |
| Business Fax Number: | |
| Mailing Address: | 105 April Way, MIDDLETOWN |
| State: | NJ |
| Postal Code: | 077486507 |
| Phone Number: | 9089178233 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00603200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |