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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

NPI Number 1770748634
LBN Legal business name FREDERICK LU MD PA
Authorized official FREDERICK LU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2008
Last updated 10/22/2008 - About 18 years ago
Identifiers
License # 25MA01980300
NJ Medicaid 2467704
Other 550847 AETNA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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