Gregory Chu, M.D.

Individual provider Active NPI Gynecology Physician · Wareham, MA

NPI 1821195066 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1821195066
Entity type
Individual (NPI type 1)
Primary specialty
Gynecology Physician 207VG0400X
License
54796 (MA)
Practice address
191 Main St
Suite 2136
Wareham, MA 02571
Phone
(508) 295-5595
Fax
(508) 295-7767
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54796MAMDGynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 54796 MA Yes

Addresses

Primary practice location

191 Main St
Suite 2136
Wareham, MA 02571

Mailing address

191 Main St
Suite 2136
Wareham, MA 02571
Phone (508) 295-5595

Other identifiers

IdentifierTypeStateIssuer
3000931MedicaidMA

Other providers in Wareham, MA

All providers in Wareham, MA · Gynecology Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.