Individual
MR. JOHN SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
30 HUDSON ST, JERSEY CITY, NJ 07302-4600
(212) 902-3179
Mailing address
13 WAYNE ST, JERSEY CITY, NJ 07302-3614
(201) 451-5290
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00183700
NJ
Other
Enumeration date
10/03/2007
Last updated
09/25/2008
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