| Lucila Medical | |
|
780 Allwood Rd Clifton NJ 07012-1923 | |
| (973) 249-6202 | |
| (973) 249-6203 |
| Full Name | Lucila Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 780 Allwood Rd, Clifton, New Jersey |
| Authorized Official Name and Position | Rafael R.v. Lucila (PHYSICIAN) |
| Authorized Official Contact | 9732496202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucila Medical 780 Allwood Rd Clifton NJ 07012-1923 Ph: (973) 249-6202 | Lucila Medical 780 Allwood Rd Clifton NJ 07012-1923 Ph: (973) 249-6202 |
| NPI Number | 1730296211 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730296211 | NPI | - | NPPES |
| 6672001 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA061330 (New Jersey) | Primary |
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