Provider Demographics
NPI:1104063163
Name:CHUU, HENRY (LAC)
Entity type:Individual
Prefix:MR
First Name:HENRY
Middle Name:
Last Name:CHUU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:MR
Other - First Name:CHIH
Other - Middle Name:HSIEN
Other - Last Name:CHUU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:20-22 THOREAU DR
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-4329
Mailing Address - Country:US
Mailing Address - Phone:732-303-1425
Mailing Address - Fax:
Practice Address - Street 1:20-22 THOREAU DR
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4329
Practice Address - Country:US
Practice Address - Phone:732-303-1425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003680171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist