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Individual

LAN SU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960
(973) 971-4287
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09812700
NJ
208M00000X
Hospitalist Physician
Primary
25MA09812700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093128191
NPI
NJ
Enumeration date
06/05/2014
Last updated
01/24/2022
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