Whalio Doctors

NPI 1003262783

Lauren H Im-Imamura, DO

Practitioner Family Medicine Physician Summit, NJ

Practice location

Address
99 Beauvoir Ave, Summit, NJ 07901-3533
Phone
(908) 522-2000
Mailing address
1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25MB10503700 (NJ)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1003262783
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 May 2016
Record last updated
17 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.