Provider Demographics
NPI:1033560362
Name:GOF, LIUAN (DC)
Entity Type:Individual
Prefix:DR
First Name:LIUAN
Middle Name:
Last Name:GOF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 HAMBURG TPKE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2062
Mailing Address - Country:US
Mailing Address - Phone:973-790-3000
Mailing Address - Fax:973-790-3001
Practice Address - Street 1:516 HAMBURG TPKE
Practice Address - Street 2:SUITE 5
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2062
Practice Address - Country:US
Practice Address - Phone:973-790-3000
Practice Address - Fax:973-790-3001
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00364300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor