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
Fax: (973) 972-4499
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700290855 NPPES
New Jersey MEDICAID 0695742

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