Provider Demographics
NPI:1699175372
Name:CHU-LE, HOA
Entity Type:Individual
Prefix:
First Name:HOA
Middle Name:
Last Name:CHU-LE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-2032
Mailing Address - Country:US
Mailing Address - Phone:201-943-2225
Mailing Address - Fax:201-943-2095
Practice Address - Street 1:729 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PK
Practice Address - State:NJ
Practice Address - Zip Code:07010
Practice Address - Country:US
Practice Address - Phone:201-943-2225
Practice Address - Fax:201-943-2095
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02729700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist