NPI 1003305160
Leah Sooyeon Nam, DMD
Practice location
- Address
- 110 Bergen St, Newark, NJ 07103-2495
- Phone
- (973) 972-9592
- Mailing address
- 333 1st St APT a, Palisades Park, NJ 07650-2676
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003305160
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 May 2018
- Record last updated
- 4 May 2018
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.