Provider Demographics
NPI:1912086364
Name:CU, JOSEPH A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:CU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2680 S WHITE RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2074
Mailing Address - Country:US
Mailing Address - Phone:408-270-2107
Mailing Address - Fax:408-270-0289
Practice Address - Street 1:2680 S WHITE RD
Practice Address - Street 2:SUITE 207
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2074
Practice Address - Country:US
Practice Address - Phone:408-270-2107
Practice Address - Fax:408-270-0289
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA050530207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF52424Medicare UPIN
CA00A0505300Medicare ID - Type Unspecified