Individual
DR. NOEL TSUN-DAH CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3436 HILLCREST AVE, SUITE 150, ANTIOCH, CA 94531-6304
(925) 754-6767
Mailing address
PO BOX 1312, ALAMO, CA 94507-7312
(925) 754-6767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A75814
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A75814
CA
207ND0900X
Dermatopathology Physician
A75814
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
A75814
CA
207NP0225X
Pediatric Dermatology Physician
A75814
CA
207NS0135X
Procedural Dermatology Physician
A75814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A758140
—
CA
Enumeration date
04/25/2006
Last updated
09/30/2014
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