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Organization
TRICOUNTY PHYSICIAN HOMECARE LLC
Active
Organization
TRICOUNTY PHYSICIAN HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN E. LUKENDA D.O. (D.O.)
(908) 925-9309
Entity
Organization
Contact information
Practice address
716 NEWMAN SPRINGS RD, BOX 231, LINCROFT, NJ 07738-1523
(908) 925-9309
(908) 925-7910
Mailing address
716 NEWMAN SPRINGS RD, BOX 231, LINCROFT, NJ 07738-1523
(908) 925-9309
(908) 925-7910
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
25MBO5511300
NJ
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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