Provider Demographics
NPI:1962513366
Name:CHU, ALICE (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:
Last Name:CHU
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 1:889 ALLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1933
Mailing Address - Country:US
Mailing Address - Phone:973-778-6800
Mailing Address - Fax:973-653-3028
Practice Address - Street 1:889 ALLWOOD RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1933
Practice Address - Country:US
Practice Address - Phone:973-778-6800
Practice Address - Fax:973-653-3028
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06229000174400000X
NY1940031174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ48J331OtherEMPIRE HMO
NJ23161OtherUNIVERSITY HEALTH PLAN
NJ5601313OtherAETNA TRADITIONAL PLAN
NJ1799913OtherGHI
NJ2376168OtherAETNA HMO
NJ48J33OtherEMPIRE PPO
NY354AC1OtherEMPIRE ALL PLANS NY
NJCA4003OtherATLANTIS HALTH PLAN
NJ32905OtherMASTER CARE
NJ1046529002OtherCIGNA
NJ660003068OtherRAILROAD MEDICARE
NJP611714OtherOXFORD
NJ7315503Medicaid
NJ010062290NJ01OtherANTHEM HEALTH NETWORK
NJ1K3612OtherFIRST OPTION
NJ1K5350OtherHEALTH NET
NJ1799913OtherGHI
NJP611714OtherOXFORD
NJ7315503Medicaid