Individual
QUEENIE QIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 REHILL AVENUE, SOMERVILLE, NJ 08876-2104
(908) 685-2200
Mailing address
110 REHILL AVENUE, SOMERVILLE, NJ 08876
(908) 685-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00530800
NJ
363AM0700X
Medical Physician Assistant
25MP00530800
NJ
Other
Enumeration date
06/18/2019
Last updated
03/17/2025
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