Wan Lo DO

NPI 1598862419 - Family Medicine - 207Q00000X

NPI Details
NPI 1598862419
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
525 RT 73 SOUTH
SUITE 301
MARLTON NJ, 08053, US
Phone (856) 596-1005
Fax (856) 596-5870
Business Location
525 RT 73 SOUTH
SUITE 301
MARLTON NJ, 08053, US
Phone (856) 596-1005
Fax (856) 596-5870
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number 25MB03493400
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According to our database, Dr. Wan Lo DO NPI is 1598862419, taxonomy code is 207Q00000X and license number is 25MB03493400, license state is located at New Jersey. Wan Lo DO physically located at 525 Rt 73 South, Marlton NJ, 08053. NPI Number Wan Lo DO has the Individual type.

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1598862419 NPI number is provided on an as is basis without warranty of any kind. 1598862419 is maintained by the National Plan & Provider Enumeration System. The contents of Wan Lo DO are for informational purposes only.