Doctor Name: | DR. JAE M CHU |
NPI Number: | 1902992357 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1175 Dehirsch Ave Woodbine, NJ - 082702401 |
Business Phone Number: | 6098612164 |
Business Fax Number: | 6098615771 |
Mailing Address: | 1175 Dehirsch Ave, WOODBINE |
State: | NJ |
Postal Code: | 082702401 |
Phone Number: | 6098612164 |
Fax Number: | 6098615771 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 01/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |