Lucila, Rafael R

Lucila, Rafael R is an individual health care provider with primary practice located at 780 Allwood Rd , Clifton NJ 07012-1923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lucila, Rafael R can be contacted via phone (973) 249-6202.

Contact Information

Primary practice address
780 Allwood Rd Clifton NJ 07012-1923
Fax: (973) 249-6203
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA06133000 New Jersey

Profile Details

NPI number 1659318483
LBN Legal business name Lucila, Rafael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 5th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659318483 NPPES
New Jersey MEDICAID 6672001

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