Individual
CHIA-YU CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
539 EGG HARBOR RD, SUITE 3, SEWELL, NJ 08080-2371
(856) 582-8885
(856) 582-6556
Mailing address
14 JASON PL, STE 201, MIDDLETOWN, NY 10940-1909
(845) 800-5118
(845) 625-1735
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA05425700
NJ
208000000X
Pediatrics Physician
305130-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382750001
—
NJ
Enumeration date
09/22/2006
Last updated
06/22/2020
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