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Organization

ETHEL DIAGNOSTIC LABORATORY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUN LI MD (CEO)
(732) 902-6968
Entity
Organization

Contact information

Practice address
4 ETHEL ROAD, SUITE 402A, EDISON, NJ 08817
(732) 902-6968
Mailing address
PO BOX 34, MARLBORO, NJ 07746-0034
(848) 863-8700
(732) 902-6969

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary

Other

Enumeration date
08/01/2019
Last updated
10/17/2025
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