Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MT223541 | PA |
Y | 111NI0900X | Internist | MT223541 | PA |
N | 2084N0400X | Neurologist | MT223541 | PA |
NPI | 1033785662 |
---|---|
Provider Name | Irene Chu |
First Address | Allentown, PA 18104-4697 |
Second Address | Allentown, PA 18103-6202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2021 |
Last Update Date | 03/06/2021 |