Healthcare Provider Details

I. General information

NPI: 1114821758
Provider Name (Legal Business Name): TUTOR TABLES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 ARNOT STREET SUITE #1060 SUITE 6
LODI NJ
07644
US

IV. Provider business mailing address

2 ARNOT STREET #1060 SUITE 6
LODI NJ
07644
US

V. Phone/Fax

Practice location:
  • Phone: 201-800-2402
  • Fax:
Mailing address:
  • Phone: 201-800-2402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. GAIL FUNG
Title or Position: MANAGING MEMBER
Credential: PHD
Phone: 917-361-9058