Provider Demographics
NPI:1982610598
Name:CHU, ANDREW S (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:S
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 E PENN SQ
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9234
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:700 LAWN AVE
Practice Address - Street 2:CHOP CARE NETWORK AT GRANDVIEW HOSPITAL
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1548
Practice Address - Country:US
Practice Address - Phone:215-453-4476
Practice Address - Fax:215-453-4738
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2013-04-18
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Provider Licenses
StateLicense IDTaxonomies
PAMD050436L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001715900Medicaid
NJ7685301Medicaid
PA001715900Medicaid
NJ7685301Medicaid