Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 22DI02750300 | NJ |
NPI | 1013565266 |
---|---|
Provider Name | Laura Koo Min Chee |
First Address | Hoboken, NJ 07030-4342 |
Second Address | New York, NY 10016-1819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2019 |
Last Update Date | 30/08/2019 |