Luo, Roger
Luo, Roger is an individual health care provider with primary practice located at 150 Bergen St # Uhc-134 , Newark NJ 07103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Luo, Roger can be contacted via phone (973) 972-4255.Contact Information
Primary practice address
150 Bergen St # Uhc-134
Newark NJ 07103
Phone: (973) 972-4255
Fax: (973) 972-4499
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 25MA10634500 | New Jersey |
Profile Details
NPI number | 1700290855 |
---|---|
LBN Legal business name | Luo, Roger |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2014 |
Last updated | Oct 21st, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700290855 | NPPES |
New Jersey | MEDICAID | 0695742 |
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