Provider Demographics
NPI:1578536314
Name:CIU, LINDA (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:CIU
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 1:116 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEDWAY
Mailing Address - State:MA
Mailing Address - Zip Code:02053-1800
Mailing Address - Country:US
Mailing Address - Phone:508-533-6020
Mailing Address - Fax:508-533-6640
Practice Address - Street 1:116 MAIN ST
Practice Address - Street 2:
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053-1800
Practice Address - Country:US
Practice Address - Phone:508-533-6020
Practice Address - Fax:508-533-6640
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219184208000000X, 2080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0822112OtherCIGNA
MA000000028246OtherBMC HEALTHNET
MA0033060OtherNEIGHBORHOOD HEALTH PLAN
MAJ27525OtherBLUE CROSS
MD469506OtherTUFTS HEALTH PLAN
MAAA13230OtherHARVARD PILGRIM
MA2115794Medicaid
MA0033060OtherNEIGHBORHOOD HEALTH PLAN
MD0822112OtherCIGNA