Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DI20522 | NJ |
NPI | 1053522185 |
---|---|
Provider Name | Dr. Sujean Oh |
First Address | Upper Saddle River, NJ 07458-1517 |
Second Address | Ho Ho Kus, NJ 07423-1572 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 08/07/2007 |