John Su in Jersey City - Medical

John Su - NPI 1194912238

John Su is a Medical in Jersey City, New Jersey. John Su practices all healthcare services and medical treatments related to Medical. The NPI Number for John Su is 1194912238. The last update date is 2008-09-25.

John Su's current location address is 30 Hudson St, Jersey City, New Jersey. You can contact this provider via phone number 2129023179. The mailing address for John Su is 30 Hudson St, Jersey City, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name John Su
Address 30 Hudson St, Jersey City, New Jersey
Phone Number 2129023179
Fax Number
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1194912238
Provider Enumeration Date 2007-10-03
Last Updated Date 2008-09-25

Provider Mailing Address Detail

Address 30 Hudson St
City Jersey City
State New Jersey (NJ)
Post Code 73024600
Phone Number 2129023179
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 25MP00183700
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about John Su

What is the unique 10-digit identification code issued to John Su by the Centers for Medicare & Medicaid Services?

The John Su has been assigned the NPI (National Provider Identifier) 1194912238 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of John Su?

The John Su is physically situated at 30 Hudson St, in the city of Jersey City, state of NJ, with the postal code 73024600.

What is the John Su's area of specialization and corresponding taxonomy classification?

The John Su's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

On what date was the 1194912238 assigned to John Su?

The John Su was issued its 1194912238 on 2007-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to John Su most recently updated or revised?

The information pertaining to John Su, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-25.

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