Healthcare Provider Details

I. General information

NPI: 1992939235
Provider Name (Legal Business Name): STANLEY CHO-HSIEN HSU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2009
Last Update Date: 09/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 N HARRISON ST STE 101
PRINCETON NJ
08540
US

IV. Provider business mailing address

599 W STATE ST SUITE 200
DOYLESTOWN PA
18901-2567
US

V. Phone/Fax

Practice location:
  • Phone: 99-249-3006
  • Fax:
Mailing address:
  • Phone: 215-345-6050
  • Fax: 215-345-6568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD447293
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number245889-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA08604400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: