Healthcare Provider Details

I. General information

NPI: 1467589903
Provider Name (Legal Business Name): CHRISTOPHER T. HSU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4745 OGLETOWN STANTON RD SUITE 217, MAP I
NEWARK DE
19713-2067
US

IV. Provider business mailing address

4745 OGLETOWN STANTON RD SUITE 217, MAP I
NEWARK DE
19713-2067
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-2168
  • Fax:
Mailing address:
  • Phone: 302-733-2168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMT181897
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: