Provider Demographics
NPI:1326354366
Name:STEINBAUM, TRANG LIEU
Entity Type:Individual
Prefix:
First Name:TRANG
Middle Name:LIEU
Last Name:STEINBAUM
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:PO BOX 951
Mailing Address - Street 2:
Mailing Address - City:HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07843-0951
Mailing Address - Country:US
Mailing Address - Phone:973-769-6380
Mailing Address - Fax:
Practice Address - Street 1:2 UPPER SAREPTA RD
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-2630
Practice Address - Country:US
Practice Address - Phone:908-475-5747
Practice Address - Fax:908-475-8812
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02489000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist