Individual
DR. AMY CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2323
(973) 977-9455
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA067094
NJ
207L00000X
Anesthesiology Physician
Primary
25MA06709400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7524005
—
NJ
01
—
P01206467
RAILROAD MEDICARE
NJ
Enumeration date
07/08/2005
Last updated
03/26/2015
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