Individual
LU FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 356-4924
(856) 356-4793
Mailing address
1 FEDERAL STREET, SW 100, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 356-4793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10082800
NJ
208M00000X
Hospitalist Physician
Primary
25MA10082800
NJ
Other
Enumeration date
03/25/2014
Last updated
12/03/2024
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