Provider Demographics
NPI:1992943476
Name:CHU, BRIAN TIN (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:TIN
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:255 WARREN ST
Mailing Address - Street 2:APT 1603
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3722
Mailing Address - Country:US
Mailing Address - Phone:201-370-4495
Mailing Address - Fax:
Practice Address - Street 1:701 ROUTE 25A
Practice Address - Street 2:SUITE B1
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2050
Practice Address - Country:US
Practice Address - Phone:631-331-4403
Practice Address - Fax:631-331-1932
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA08622500207R00000X
NY254047207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine