Tricounty Physician Homecare Llc | |
716 Newman Springs Rd Box 231 Lincroft NJ 07738-1523 | |
(908) 925-9309 | |
(908) 925-7910 |
Full Name | Tricounty Physician Homecare Llc |
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Speciality | Family Medicine - Adult Medicine |
Location | 716 Newman Springs Rd, Lincroft, New Jersey |
Authorized Official Name and Position | Kevin E. Lukenda (D.O.) |
Authorized Official Contact | 9089259309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tricounty Physician Homecare Llc 716 Newman Springs Rd Box 231 Lincroft NJ 07738-1523 Ph: (908) 925-9309 | Tricounty Physician Homecare Llc 716 Newman Springs Rd Box 231 Lincroft NJ 07738-1523 Ph: (908) 925-9309 |
NPI Number | 1710221346 |
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Provider Enumeration Date | 11/20/2012 |
Last Update Date | 11/20/2012 |
Identifier | Type | State | Issuer |
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1710221346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | 25MBO5511300 (New Jersey) | Primary |