MEDICARE: ROMEO A. TIU, M.D., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	25MA02741500	NJ

General Provider Information

NPI Number	:	1497132484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROMEO A. TIU, M.D., P.A.

Provider Business Mailing Address
First Line	:	40 UNION AVE STE 206
Second Line	:
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-3290
Country	:	US
Telephone Number	:	973-375-5500
Fax Number	:	973-996-2008

Provider Business Practice Location Address
First Line	:	40 UNION AVE STE 206
Second Line	:
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-3290
Country	:	US
Telephone Number	:	973-375-5500
Fax Number	:	973-996-2008

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROMEO A. TIU
Credential	:	M.D.
Telephone Number	:	973-375-5500

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	04/29/2015

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