National Provider Identifier

Thomas Waitao Chu, M.D.

Thomas Waitao Chu, M.D. is listed in the NPPES registry with a primary specialty of Dermatology Physician in Buffalo, NY and a listed phone number of (716) 645-8990.

NPI 1669842787Buffalo, NYDermatology Physician

Profile Overview

NPI
1669842787
Provider Type
Individual
Primary Specialty
Dermatology Physician
Enumeration Date
October 01, 2015
Last Updated
October 01, 2015

Practice Location

  • 875 Ellicott St
  • Ctrc Rm 6080
  • Buffalo, NY 14203-1070

Phone: (716) 645-8990

Specialties

  • Dermatology Physician (207N00000X)
Full Record
NPI
1669842787
Entity Type
Individual
Last Name
Chu
First Name
Thomas
Middle Name
Waitao
Credential
M.D.
Mailing Street Address
875 Ellicott St
Mailing Address Line 2
Ctrc Rm 6080
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1070
Mailing Country
US
Mailing Phone
(716) 645-8990
Practice Street Address
875 Ellicott St
Practice Address Line 2
Ctrc Rm 6080
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1070
Practice Country
US
Practice Phone
(716) 645-8990
Enumeration Date
October 01, 2015
Last Updated
October 01, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dermatology Physician (207N00000X)