Provider Demographics
NPI:1871754937
Name:CHIU, ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:CHIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WOOD AVE S
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2736
Mailing Address - Country:US
Mailing Address - Phone:510-912-3636
Mailing Address - Fax:
Practice Address - Street 1:120 WOOD AVE S
Practice Address - Street 2:SUITE 401
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2736
Practice Address - Country:US
Practice Address - Phone:510-912-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-21
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09057500207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine