Provider Demographics
NPI:1093128134
Name:LUU, TRAM
Entity Type:Individual
Prefix:MS
First Name:TRAM
Middle Name:
Last Name:LUU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 DIAMOND SPRING RD
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2910
Mailing Address - Country:US
Mailing Address - Phone:973-627-0212
Mailing Address - Fax:973-627-3338
Practice Address - Street 1:170 DIAMOND SPRING RD
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2910
Practice Address - Country:US
Practice Address - Phone:973-627-0212
Practice Address - Fax:973-627-3338
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05676800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker