Lingping Gu Md Llc | |
3084 State Route 27 Ste 9 Kendall Park NJ 08824-1657 | |
(732) 297-4321 | |
(732) 297-2202 |
Full Name | Lingping Gu Md Llc |
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Speciality | Internal Medicine |
Location | 3084 State Route 27 Ste 9, Kendall Park, New Jersey |
Authorized Official Name and Position | Lingping Gu (PHYSICIAN) |
Authorized Official Contact | 7322974321 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lingping Gu Md Llc 3084 State Route 27 Ste 9 Kendall Park NJ 08824-1657 Ph: (732) 297-4321 | Lingping Gu Md Llc 3084 State Route 27 Ste 9 Kendall Park NJ 08824-1657 Ph: (732) 297-4321 |
NPI Number | 1053442954 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 03/03/2015 |
Medicare PECOS PAC ID | 2264499391 |
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Medicare Enrollment ID | O20041210000174 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053442954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lingping Gu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134133481 PECOS PAC ID: 8628064003 Enrollment ID: I20040421001515 |
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