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Organization
RAFAEL R.V. LUCILA MD
Active
Organization
RAFAEL R.V. LUCILA MD
Active
Other names
LUCILA MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL R.V. LUCILA M.D. (PHYSICIAN)
(973) 249-6202
Entity
Organization
Contact information
Practice address
780 ALLWOOD RD, CLIFTON, NJ 07012-1923
(973) 249-6202
(973) 249-6203
Mailing address
780 ALLWOOD RD, CLIFTON, NJ 07012-1923
(973) 249-6202
(973) 249-6203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA061330
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6672001
—
NJ
Enumeration date
08/23/2006
Last updated
12/17/2007
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