Lugo, Javier Jerry

Lugo, Javier Jerry is an individual health care provider with primary practice located at 97 W Parkway , Pompton Plains NJ 07444-1647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Lugo, Javier Jerry can be contacted via phone (973) 831-5120.

Contact Information

Primary practice address
97 W Parkway Pompton Plains NJ 07444-1647
Phone: (973) 831-5120
Fax: (973) 831-5342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MA59687 New Jersey

Profile Details

NPI number 1508940057
LBN Legal business name Lugo, Javier Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1508940057 NPPES
New Jersey MEDICAID 6845509

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