Individual
MR. JOHNSON FU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2000
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
122088
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00852700
NJ
Other
Enumeration date
04/22/2018
Last updated
08/01/2023
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