Individual
DR. SHING HONG LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 BROADWAY, PATERSON, NJ 07514-1422
(732) 212-0060
Mailing address
109 BENEDICT AVE, STATEN ISLAND, NY 10314-2463
(718) 420-0960
(718) 420-0960
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA03477400
NJ
208D00000X
General Practice Physician
Primary
25MA03477400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3772501
—
NJ
Enumeration date
08/19/2005
Last updated
11/03/2008
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