Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | MD429104 | PA |
NPI | 1154349462 |
---|---|
Provider Name | Dr. Robert J Chiu |
First Address | Pittsburgh, PA 15241-1208 |
Second Address | Pittsburgh, PA 15241-1208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 11/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I65385 | (02) | PA |