Healthcare Provider Details

I. General information

NPI: 1558363564
Provider Name (Legal Business Name): PING CUI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 GROVELAND ST SUITE C2
HAVERHILL MA
01830-6674
US

IV. Provider business mailing address

288 GROVELAND ST SUITE 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 Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number216574
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: