Individual
BO FENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 OLD SHORT HILLS ROAD, LIVINGSTON, NJ 07039
(973) 322-2772
(973) 322-8917
Mailing address
94 OLD SHORT HILLS ROAD, LIVINGSTON, NJ 07039
(973) 322-2772
(973) 322-8917
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
25MA08519600
NJ
207ZP0101X
Anatomic Pathology Physician
MT182775
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204919
—
NJ
01
—
205633588
BCBS
NJ
Enumeration date
07/24/2007
Last updated
07/31/2024
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