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Contact Information

FREDERICK LU MD PA
1156 LIBERTY AVE
HILLSIDE, NJ07205
 Phone: 908-527-9863
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for FREDERICK LU MD PA · (Female)

NPI Number 1770748634
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2008
Last updated 10/22/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • License # 25MA01980300
  • NJ Medicaid 2467704
  • Other 550847 AETNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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