Individual
GLORIA LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
277490
NY
207RG0100X
Gastroenterology Physician
Primary
25MA11364200
NJ
207RG0100X
Gastroenterology Physician
277490
NY
Other
Enumeration date
06/12/2012
Last updated
04/25/2022
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