Dr GRACE P MALANTIC-LU MD is a female medical professional, specializing in Diagnostic Radiology. She graduated in 1996 from Umdnj-new Jersey Medical School.
EDISON RADIOLOGY GROUP PA
22 GREENWAY WAY
UPPER MONTCLAIR
NJ
070432532
Tel: 7323217000
Npi | 1679553051 |
Pac Id | 0749206654 |
Professional Enrollment Id | I20051020000319 |
Last Name | MALANTIC-LU |
First Name | GRACE |
Middle Name | P |
Suffix | |
Gender | F |
Credential | MD |
Medical School Name | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
Graduation Year | 1996 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
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Organization Legal Name | EDISON RADIOLOGY GROUP PA |
Group Practice Pac Id | 1052209699 |
Number Of Group Practice Members | 16 |
Line 1 Street Address | 22 GREENWAY WAY |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | UPPER MONTCLAIR |
State | NJ |
Zip Code | 070432532 |
Phone Number | 7323217000 |
Hospital Affiliation Ccn 1 | 310108 |
Hospital Affiliation Lbn 1 | JFK MEDICAL CENTER |
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Professional Accepts Medicare Assignment | Y |
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