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NPI Code Detail

MEDICARE: DR. JUDY CHIU DO

MEDICARE: DR. JUDY CHIU DO
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
1207Q00000XFamily Medicine Physician48298CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11982865101OTHERCTNPI

General Provider Information

NPI Number : 1982865101
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDY CHIU DO
Provider Business Mailing Address
First Line : 47 PERRY DR
Second Line :
City : BURLINGTON
State : CT
Zip : 06013-1840
Country : US
Telephone Number : 860-269-3002
Fax Number : 860-255-4002
Provider Business Practice Location Address
First Line : 30 W AVON RD
Second Line :
City : AVON
State : CT
Zip : 06001-3678
Country : US
Telephone Number : 860-269-3002
Fax Number : 860-255-4002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2008
Last Update Date : 01/23/2025

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