Individual
MRS. VIVIAN S LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2802
(973) 669-5711
(973) 669-5722
Mailing address
227 LAUREL RD, STE 300, VOORHEES, NJ 08043-8303
(856) 669-6050
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA06872
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2K8170
PHS
—
01
—
5000988003
CIGNA
—
01
—
7427382
AETNA
—
01
—
P2733240
OXFORD
—
Enumeration date
12/13/2006
Last updated
11/04/2019
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