Provider Demographics
NPI:1700020393
Name:YU, MARIE CHUN G (BSN-RN/PRESIDENT)
Entity Type:Individual
Prefix:MISS
First Name:MARIE CHUN
Middle Name:G
Last Name:YU
Suffix:
Gender:F
Credentials:BSN-RN/PRESIDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 KNOLL RD
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-9621
Mailing Address - Country:US
Mailing Address - Phone:973-394-0899
Mailing Address - Fax:973-909-7642
Practice Address - Street 1:137 KNOLL RD
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-9621
Practice Address - Country:US
Practice Address - Phone:973-394-0899
Practice Address - Fax:973-909-7642
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11044000163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency