Basic Information
Provider Information
NPI: 1073535209
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOW
FirstName: PUI-MAN PAUL
MiddleName: PAUL
NamePrefix: DR.
NameSuffix:  
Credential: M.D., M.B.A., S.M.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 51 WINDSOR DR
Address2:  
City: OAK BROOK
State: IL
PostalCode: 605232345
CountryCode: US
TelephoneNumber: 9089104848
FaxNumber: 6305728983
Practice Location
Address1: 151 KNOLLCROFT RD (561/11E)
Address2: EXTENDED CARE OFFICE, LYONS VA MEDICAL CENTER
City: LYONS
State: NJ
PostalCode: 07939
CountryCode: US
TelephoneNumber: 9086470180
FaxNumber: 9086045226
Other Information
ProviderEnumerationDate: 07/24/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X25MA06512500NJY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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