| Lifecare Family Doctors, Pc | |
|
940 Stuyvesant Ave Suite 2 Union NJ 07083-6906 | |
| (908) 686-9440 | |
| (908) 686-9445 |
| Full Name | Lifecare Family Doctors, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 940 Stuyvesant Ave, Union, New Jersey |
| Authorized Official Name and Position | Chukwuemeka Ibeku (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9086869440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Family Doctors, Pc Po Box 861 South Plainfield NJ 07080-0861 Ph: (908) 686-9440 | Lifecare Family Doctors, Pc 940 Stuyvesant Ave Suite 2 Union NJ 07083-6906 Ph: (908) 686-9440 |
| NPI Number | 1952349532 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 05/20/2008 |
| Medicare PECOS PAC ID | 4486639754 |
|---|---|
| Medicare Enrollment ID | O20081029000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952349532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Chukwuemeka A Ibeku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023059722 PECOS PAC ID: 0547245821 Enrollment ID: I20040621001706 |
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