Healthcare Provider Details

I. General information

NPI: 1447428560
Provider Name (Legal Business Name): JUDY LIN HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 PARK ST 4D
FLORHAM PARK NJ
07932-1794
US

IV. Provider business mailing address

38 PARK ST 4D
FLORHAM PARK NJ
07932-1794
US

V. Phone/Fax

Practice location:
  • Phone: 973-698-7195
  • Fax:
Mailing address:
  • Phone: 973-698-7195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00999100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: