Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 25MA08201400 | NJ |
N | 207RC0000X | Internist - Cardiovascular Disease | MD425544 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MT179943 | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD13862 | RI |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | MD425544 | PA |
NPI | 1063573764 |
---|---|
Provider Name | Dr. Antony Fu-Chin Chu |
First Address | Providence, RI 02903-4923 |
Second Address | Providence, RI 02903-4923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 19/07/2021 |