Provider Demographics
NPI:1386970960
Name:TU, DANDAN (MD)
Entity type:Individual
Prefix:DR
First Name:DANDAN
Middle Name:
Last Name:TU
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 1:24 BYFIELD LN
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-3446
Mailing Address - Country:US
Mailing Address - Phone:203-665-8193
Mailing Address - Fax:
Practice Address - Street 1:1165 KING STREET
Practice Address - Street 2:GREENWICH WOODS REHABILITATION & HEALTH CARE CENTE
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831
Practice Address - Country:US
Practice Address - Phone:203-665-8193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT48212208100000X
NY255367208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation