Provider Demographics
NPI:1063431252
Name:QU, PEIMEI (MD)
Entity type:Individual
Prefix:DR
First Name:PEIMEI
Middle Name:
Last Name:QU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 UNION AVE SUITE 1A
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3002
Mailing Address - Country:US
Mailing Address - Phone:908-595-6330
Mailing Address - Fax:908-535-6331
Practice Address - Street 1:201 UNION AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3002
Practice Address - Country:US
Practice Address - Phone:908-595-6330
Practice Address - Fax:908-595-6331
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA69927207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0037150Medicaid
NJH06950Medicare UPIN
NJ070317Medicare PIN