Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD072046L | PA |
NPI | 1063481679 |
---|---|
Provider Name | Wen-Min Chuu |
First Address | Hollidaysburg, PA 16648-2725 |
Second Address | Hollidaysburg, PA 16648-2725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 05/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018150930002 | (05) | PA |
H26641 | (02) |