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Individual
MR. IVAN RAFAEL LOCKWARD JR.
Active
Individual
MR. IVAN RAFAEL LOCKWARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12662800
NJ
207R00000X
Internal Medicine Physician
33783R
PR
Other
Enumeration date
08/23/2018
Last updated
06/03/2025
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