Provider Demographics
NPI:1093899320
Name:YU, CHA J (MD)
Entity Type:Individual
Prefix:DR
First Name:CHA
Middle Name:J
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3251 OLD CARRIAGE DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-3130
Mailing Address - Country:US
Mailing Address - Phone:718-309-4685
Mailing Address - Fax:
Practice Address - Street 1:WARREN HOSPITAL
Practice Address - Street 2:185 ROSEBERRY STREET
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865
Practice Address - Country:US
Practice Address - Phone:908-859-6782
Practice Address - Fax:908-859-6821
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA073552002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0312941Medicaid
NJ231181Medicare PIN