| Lct Medical | |
|
1182 Stuyvesant Ave Fl. 1 Irvington NJ 07111-1057 | |
| (973) 399-2600 | |
| (973) 399-5252 |
| Full Name | Lct Medical |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1182 Stuyvesant Ave, Irvington, New Jersey |
| Authorized Official Name and Position | Chidi I. Anukwuem (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9733992600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lct Medical 1182 Stuyvesant Ave Fl. 1 Irvington NJ 07111-1057 Ph: (973) 399-2600 | Lct Medical 1182 Stuyvesant Ave Fl. 1 Irvington NJ 07111-1057 Ph: (973) 399-2600 |
| NPI Number | 1326289984 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 03/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326289984 | NPI | - | NPPES |
| 6135102 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA058920 (New Jersey) | Primary |
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