Individual
SANG VAN LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 CHURCH STREET, LODI, NJ 07644-3323
(201) 600-9375
Mailing address
126 CHURCH ST, LODI, NJ 07644-3323
(201) 600-9375
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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