Organization
ANGELES L LUCHAYCO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELES LIM LUCHAYCO MD (PRESIDENT)
(201) 332-6677
Entity
Organization
Contact information
Practice address
119 OCEAN AVENUE, JERSEY CITY, NJ 07305
(201) 332-6677
(201) 332-6677
Mailing address
119 OCEAN AVENUE, JERSEY CITY, NJ 07305
(201) 332-6677
(201) 332-6677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA02984700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1185705
—
NJ
Enumeration date
01/18/2007
Last updated
08/22/2020
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