Individual
ROGER LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 BERGEN ST # UHC-134, NEWARK, NJ 07103
(973) 972-4255
(973) 972-4499
Mailing address
30 BERGEN ST RM 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA10634500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0695742
—
NJ
Enumeration date
06/17/2014
Last updated
10/21/2019
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