Individual
NENITA L. YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
59 KOCH AVE, GREYSTONE PARK, NJ 07950-4400
(973) 538-1800
Mailing address
288 MAPLE ST # 2, FORT LEE, NJ 07024-4037
(201) 944-9743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA02703500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
439015C2E
MEDICARE BILLING NO.
NJ
Enumeration date
12/21/2006
Last updated
02/25/2009
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