Provider Demographics
NPI:1649417437
Name:SIU, KARLEUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:KARLEUNG
Middle Name:
Last Name:SIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SAMUEL
Other - Middle Name:KAR LEUNG
Other - Last Name:SIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:718 TEANECK RD
Mailing Address - Street 2:REGIONAL CANCER CENTER
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4245
Mailing Address - Country:US
Mailing Address - Phone:201-227-6008
Mailing Address - Fax:201-227-6008
Practice Address - Street 1:718 TEANECK RD
Practice Address - Street 2:REGIONAL CANCER CENTER
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4245
Practice Address - Country:US
Practice Address - Phone:201-227-6008
Practice Address - Fax:201-227-6008
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247704207R00000X, 207RH0003X
NJ247704207RH0002X
NJ25MA091537001207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine