Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00345700 | NJ |
NPI | 1063824175 |
---|---|
Provider Name | Dr. Yu-Ching Chi |
First Address | Westfield, NJ 07090-2540 |
Second Address | Westfield, NJ 07090-2540 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2014 |
Last Update Date | 29/11/2018 |