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Vivien Wai Tung Ku, DDS
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1780117325

Vivien Wai Tung Ku is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Vivien Wai Tung Ku practices in Newark, NJ and has the professional credentials of DDS. The NPI Number for Vivien Wai Tung Ku is 1780117325 and holds a License No. (New Jersey).

The current practice location address for Vivien Wai Tung Ku is 201 Lyons Ave, Newark Beth Israel Medical Center, Newark, NJ and can be reached out via phone at 973-926-7642 and via fax at 973-926-5306.

Location: 201 Lyons Ave, Newark Beth Israel Medical Center, Newark, NJ, 07112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780117325
Provider Name
Vivien Wai Tung Ku
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark Beth Israel Medical Center, Newark, NJ, 07112
Phone Number
973-926-7642
Fax Number
973-926-5306
Provider Enumeration Date
04/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Lyons Ave, Newark Beth Israel Medical Center
City
Newark
State
New Jersey
Zip
07112
Phone Number
973-926-7642
Fax Number
973-926-5306
person
Provider Business Mailing Address Details
Address
201 Lyons Ave, Newark Beth Israel Medical Center
City
Newark
State
New Jersey
Zip
07112
Phone Number
973-926-7642
Fax Number
973-926-5306
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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