Individual
DR. THEODORE J CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 BELLEROSE DR, SAN JOSE, CA 95128-1729
(408) 816-8923
(669) 242-7914
Mailing address
130 BELLEROSE DR, SAN JOSE, CA 95128-1729
(408) 816-8923
(669) 242-7914
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
G12838
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
G12838
CA
Other
Enumeration date
06/07/2006
Last updated
09/16/2020
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