Individual
GINA L. LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1153 1ST AVE, NEW YORK, NY 10065-7768
(646) 386-2250
(847) 919-4615
Mailing address
766 SHREWSBURY AVE, SUITE 300, TINTON FALLS, NJ 07724-3001
(732) 345-8346
(732) 345-8351
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA06188200
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
178854-1
NY
2085R0204X
Vascular & Interventional Radiology Physician
25MA06188200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400113300
—
NJ
Enumeration date
05/24/2006
Last updated
10/22/2021
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