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General NPI Number Information
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NPI Number | 1538430079
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Entity Type | Individual
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Provider Name | EVELYN H CHIU D. D. S. , PH. D.
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Gender | Female
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 358 SPRINGFIELD AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-4612
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Country | US
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Telephone | 908-273-2254
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Fax |
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Provider Business Mailing Address
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Address Line | 358 SPRINGFIELD AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-4612
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Country | US
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Telephone | 908-273-2254
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI17099
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License Number State | NJ
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