Basic Information
Provider Information
NPI: 1033557327
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHIU
FirstName: DARQUIN
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: PHARM.D., MAOM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 335 BROADWAY
Address2:  
City: CAMBRIDGE
State: MA
PostalCode: 021391803
CountryCode: US
TelephoneNumber: (617) 849-0208
FaxNumber:  
Practice Location
Address1: 343 NEWPORT AVE
Address2:  
City: QUINCY
State: MA
PostalCode: 021703376
CountryCode: US
TelephoneNumber: 6179345918
FaxNumber: 6179345919
Other Information
ProviderEnumerationDate: 06/07/2013
LastUpdateDate: 06/09/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171100000X MAY Other Service ProvidersAcupuncturist 
183500000X233109MAN Pharmacy Service ProvidersPharmacist 

No ID Information.


Home