| Tri County Physician Homecare | |
|
850 N Wood Ave Linden NJ 07036-4038 | |
| (908) 925-9309 | |
| (908) 925-7910 |
| Full Name | Tri County Physician Homecare |
|---|---|
| Speciality | Family Medicine |
| Location | 850 N Wood Ave, Linden, New Jersey |
| Authorized Official Name and Position | Kevin E Lukenda (DOCTOR) |
| Authorized Official Contact | 9089259309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Physician Homecare Po Box 231 Lincroft NJ 07738-0231 Ph: (908) 925-9309 | Tri County Physician Homecare 850 N Wood Ave Linden NJ 07036-4038 Ph: (908) 925-9309 |
| NPI Number | 1497874838 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497874838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB55113 (New Jersey) | Primary |
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