Healthcare Provider Details

I. General information

NPI: 1679519623
Provider Name (Legal Business Name): CHI YEUNG LAU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 ROUTE 9 SOUTH
HOWELL NJ
07731
US

IV. Provider business mailing address

5140 ROUTE 9 SOUTH
HOWELL NJ
07731
US

V. Phone/Fax

Practice location:
  • Phone: 732-364-4141
  • Fax: 732-364-0787
Mailing address:
  • Phone: 732-364-4141
  • Fax: 732-364-0787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: