Healthcare Provider Details

I. General information

NPI: 1184288219
Provider Name (Legal Business Name): JULIE CHIU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LI QIU MD

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 LEBANON ST
MELROSE MA
02176-3225
US

IV. Provider business mailing address

88 ATKINSON LN
SUDBURY MA
01776-1940
US

V. Phone/Fax

Practice location:
  • Phone: 718-604-5401
  • Fax:
Mailing address:
  • Phone: 508-713-7310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number292114
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: