Individual
MARK CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13-17 ELIZABETH STREET, STE 608, NEW YORK, NY 10013
(212) 219-8031
(212) 219-3903
Mailing address
13-17 ELIZABETH STREET, STE 608, NEW YORK, NY 10013
(212) 219-8031
(212) 219-3903
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
196705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01987824
—
NY
Enumeration date
09/27/2006
Last updated
07/08/2007
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