MEDICARE: DR. ROBERT J CHIU M.D.

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	207YS0123X	Facial Plastic Surgery Physician	MD429104	PA

General Provider Information

NPI Number	:	1154349462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J CHIU M.D.

Provider Business Mailing Address
First Line	:	1720 WASHINGTON RD
Second Line	:	#218
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1208
Country	:	US
Telephone Number	:	412-833-9888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 WASHINGTON RD
Second Line	:	#218
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1208
Country	:	US
Telephone Number	:	412-833-9888
Fax Number	:

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	01/11/2011

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