Provider Demographics
NPI:1467579466
Name:LEUNG, CHIU SHAN (RN,CNM)
Entity Type:Individual
Prefix:MS
First Name:CHIU SHAN
Middle Name:
Last Name:LEUNG
Suffix:
Gender:F
Credentials:RN,CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1415
Mailing Address - Country:US
Mailing Address - Phone:617-521-6844
Mailing Address - Fax:617-482-2930
Practice Address - Street 1:885 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1415
Practice Address - Country:US
Practice Address - Phone:617-521-6844
Practice Address - Fax:617-482-2930
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA167421176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife