Provider Demographics
NPI:1023275385
Name:CHU, NAN SUNG (MD)
Entity type:Individual
Prefix:DR
First Name:NAN SUNG
Middle Name:
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CRECENT HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2661
Mailing Address - Country:US
Mailing Address - Phone:201-818-3938
Mailing Address - Fax:201-818-3938
Practice Address - Street 1:18 CRECENT HOLLOW CT
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-2661
Practice Address - Country:US
Practice Address - Phone:201-818-3938
Practice Address - Fax:201-818-3938
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02141400208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice