Individual
JESSE LIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Mailing address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C1-0013423
DE
207R00000X
Internal Medicine Physician
C1-0013423
DE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
25MA11811700
NJ
Other
Enumeration date
03/19/2018
Last updated
06/15/2023
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