Individual
DR. JAMES THOMAS LUCKEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 235-7044
Mailing address
24 KENTUCKY WAY, FREEHOLD, NJ 07728-4636
(201) 317-7211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101259983
VA
208000000X
Pediatrics Physician
25MA10545700
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA10545700
NJ
Other
Enumeration date
02/25/2015
Last updated
05/02/2024
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