Individual
JINNY LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 ESSEX ST STE 102, HACKENSACK, NJ 07601-3244
(732) 447-4234
Mailing address
211 ESSEX ST STE 102, HACKENSACK, NJ 07601-3244
(732) 447-4234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
277207
MA
2086S0129X
Vascular Surgery Physician
Primary
25MA12398900
NJ
282N00000X
General Acute Care Hospital
1306231279
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
09/23/2024
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