Individual
SAM CHUAN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2331
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD61228859
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
25MA10330200
NJ
Other
Enumeration date
06/15/2015
Last updated
08/22/2022
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