Individual
DEREK GUO JU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NORTHERN BLVD STE 300, GREAT NECK, NY 11021-5200
(516) 627-8717
Mailing address
600 NORTHERN BLVD STE 300, GREAT NECK, NY 11021-5200
(516) 627-8717
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A146280
CA
Other
Enumeration date
02/04/2013
Last updated
10/18/2022
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