Healthcare Provider Details

I. General information

NPI: 1043583354
Provider Name (Legal Business Name): PING CUI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 02/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 GROVELAND ST C2
HAVERHILL MA
01830-6674
US

IV. Provider business mailing address

288 GROVELAND ST C2
HAVERHILL MA
01830-6674
US

V. Phone/Fax

Practice location:
  • Phone: 978-521-8810
  • Fax: 978-521-8811
Mailing address:
  • Phone: 978-521-8810
  • Fax: 978-521-8811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PING CUI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 978-521-8810