Individual
FU LUNG LUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 PROSPECT AVE STE 406, HACKENSACK, NJ 07601-1941
(551) 996-2608
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09405000
NJ
207RN0300X
Nephrology Physician
Primary
25MA09405000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4417160
—
MI
Enumeration date
10/19/2006
Last updated
11/26/2024
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