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
Phone: (973) 249-6202
Fax: (973) 249-6203
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659318483 | NPPES |
New Jersey | MEDICAID | 6672001 |
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