Most Relevant Information
Provider Data
| NPI Number: | 1003012956 |
| Provider Name: | DEBORAH LOO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 25MA08240500 |
Most Important Dates
| Enumeration Date: | 06/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
727 N BEERS ST
HOLMDEL
NJ
077331514
Practice Location Phone/Fax
| Phone: | 2013421205 |
| Fax: | 2013421259 |
Provider Mailing Location
PO BOX 441
ORADELL
NJ
076490441
Provider Mailing Phone/Fax
| Phone: | 2013421205 |
| Fax: | 2013421259 |