Individual
DR. JONATHAN BRYAN TIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 ESSEX ST STE 303, HACKENSACK, NJ 07601-8566
(551) 996-8100
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2018036869
MO
2084N0400X
Neurology Physician
Primary
25MA11898000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200070369
—
MO
Enumeration date
04/14/2015
Last updated
04/01/2024
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