MEDICARE: DR. ROMEO A TIU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MA27415	NJ

General Provider Information

NPI Number	:	1023075769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROMEO A TIU MD

Provider Business Mailing Address
First Line	:	40 UNION AVE
Second Line	:	SUITE 206
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-3277
Country	:	US
Telephone Number	:	973-375-5500
Fax Number	:	973-375-5561

Provider Business Practice Location Address
First Line	:	40 UNION AVE
Second Line	:	SUITE 206
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-3277
Country	:	US
Telephone Number	:	973-375-5500
Fax Number	:	973-375-5561

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	07/08/2007

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