Provider Demographics
NPI:1689889529
Name:TU, XINJUN (OMD)
Entity Type:Individual
Prefix:DR
First Name:XINJUN
Middle Name:
Last Name:TU
Suffix:
Gender:M
Credentials:OMD
Other - Prefix:DR
Other - First Name:JUN
Other - Middle Name:
Other - Last Name:TU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OMD
Mailing Address - Street 1:37 STONE CREST DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-2632
Mailing Address - Country:US
Mailing Address - Phone:845-238-3085
Mailing Address - Fax:845-344-1833
Practice Address - Street 1:225 DOLSON AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6569
Practice Address - Country:US
Practice Address - Phone:845-344-1110
Practice Address - Fax:845-344-1833
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000455 DUP171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist