Provider Demographics
NPI:1841495546
Name:LU, PHOEBE DO MING (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:PHOEBE
Middle Name:DO MING
Last Name:LU
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 BALDWIN RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2043
Mailing Address - Country:US
Mailing Address - Phone:973-335-2560
Mailing Address - Fax:973-335-9421
Practice Address - Street 1:199 BALDWIN RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2043
Practice Address - Country:US
Practice Address - Phone:973-335-2560
Practice Address - Fax:973-335-9421
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245461207N00000X
NJ25MA09042800207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ236004U4LMedicare PIN