Provider Demographics
NPI:1609973114
Name:RYU, CHU Y (DDS)
Entity Type:Individual
Prefix:MS
First Name:CHU
Middle Name:Y
Last Name:RYU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 LIVINGSTON ST
Mailing Address - Street 2:#212
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648
Mailing Address - Country:US
Mailing Address - Phone:201-750-9151
Mailing Address - Fax:201-750-9151
Practice Address - Street 1:474 LIVINGSTON ST
Practice Address - Street 2:#212
Practice Address - City:NORWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07648
Practice Address - Country:US
Practice Address - Phone:201-750-9151
Practice Address - Fax:201-750-9151
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02272000122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist