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1558436832 NPI number — JIUN H LO MD

NPI Number: 1558436832
Health Care Provider/Practitioner: JIUN H LO MD

Information about “1558436832” NPI (JIUN H LO MD) exists in 1558436832 in HTML format HTML  |  1558436832 in plain Text format TXT  |  1558436832 in PDF (Portable Document Format) PDF  |  1558436832 in an XML format XML  formats.

NPI Number : 1558436832 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558436832",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LO",
    "FirstName": "JIUN",
    "MiddleName": "H",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LO",
    "OtherFirstName": "JIUN",
    "OtherMiddleName": "HONG",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1553 HIGHWAY 27",
    "SecondLineMailingAddress": "SUITE 3500",
    "MailingAddressCityName": "SOMERSET",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08873-3980",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-828-0102",
    "MailingAddressFaxNumber": "732-828-0406",
    "FirstLinePracticeLocationAddress": "1553 HIGHWAY 27",
    "SecondLinePracticeLocationAddress": "SUITE 3500",
    "PracticeLocationAddressCityName": "SOMERSET",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08873-3980",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-828-0102",
    "PracticeLocationAddressFaxNumber": "732-828-0406",
    "EnumerationDate": "11/21/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": "25MA02588500",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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