Provider Demographics
NPI:1558363564
Name:CUI, PING (MD)
Entity Type:Individual
Prefix:
First Name:PING
Middle Name:
Last Name:CUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 GROVELAND ST
Mailing Address - Street 2:SUITE C2
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6674
Mailing Address - Country:US
Mailing Address - Phone:978-521-8810
Mailing Address - Fax:978-521-8811
Practice Address - Street 1:288 GROVELAND ST
Practice Address - Street 2:SUITE C2
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6674
Practice Address - Country:US
Practice Address - Phone:978-521-8810
Practice Address - Fax:978-521-8811
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2165742084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2023041Medicaid
MAA35529Medicare ID - Type Unspecified
MA2023041Medicaid