Eugenia Hsu

Individual provider Active NPI General Practice Dentistry · Closter, NJ

NPI 1255547451 · NPPES record last updated Apr 27, 2014

Key facts

NPI
1255547451
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
22DI02318801 (NJ)
Practice address
235 Closter Dock Rd
Closter, NJ 07624-1907
Phone
(201) 768-6101
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22DI02318801NJMDGeneral Practice Dentistry
052999-1NYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02318801 NJ Yes
General Practice Dentistry 1223G0001X 052999-1 NY

Addresses

Primary practice location

235 Closter Dock Rd
Closter, NJ 07624-1907

Mailing address

14 Penn PLZ
Suite 400
New York, NY 10122-0049

Other providers in Closter, NJ

All providers in Closter, NJ · General Practice Dentistry in New Jersey

Sources for this page

Verify at the official NPI Registry.