Most Relevant Information
Provider Data
| NPI Number: | 1003584897 |
| Provider Name: | SAMUEL H LUBA LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 44SL06591700 |
Most Important Dates
| Enumeration Date: | 09/06/2021 |
| Last Updated: | 09/06/2021 |
Provider Practice Location
461 NEWARK AVE
JERSEY CITY
NJ
073061388
Practice Location Phone/Fax
| Phone: | 2013885891 |
| Fax: |
Provider Mailing Location
20 WESTMINSTER PL
OLD TAPPAN
NJ
076756863
Provider Mailing Phone/Fax
| Phone: | 2013885891 |
| Fax: |