Healthcare Provider Details

I. General information

NPI: 1730821323
Provider Name (Legal Business Name): VINCENT LAU DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W CENTURY RD STE 111
PARAMUS NJ
07652-1466
US

IV. Provider business mailing address

37 W CENTURY RD STE 111
PARAMUS NJ
07652-1466
US

V. Phone/Fax

Practice location:
  • Phone: 973-803-2352
  • Fax:
Mailing address:
  • Phone: 973-803-2352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOT024615
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB12730400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: