Healthcare Provider Details

I. General information

NPI: 1841555026
Provider Name (Legal Business Name): GENEVIEVE TANIA CHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2012
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PAGE ST
NEW BEDFORD MA
02740-3464
US

IV. Provider business mailing address

401 W 30TH ST
MIAMI BEACH FL
33140-4329
US

V. Phone/Fax

Practice location:
  • Phone: 508-973-5919
  • Fax: 508-973-5916
Mailing address:
  • Phone: 318-364-0969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number262081
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME144558
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: