Individual
DR. GRACIANO LUCERO ZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 LIVINGSTON AVE, NEW BRUNSWICK, NJ 08901-2497
(732) 390-8161
(732) 390-6110
Mailing address
137 LIVINGSTON AVENUE, NEW BRUNSWICK, NJ 08901
(732) 545-0051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA06494900
NJ
207R00000X
Internal Medicine Physician
Primary
25MA06494900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101205
—
NJ
Enumeration date
01/11/2007
Last updated
07/13/2022
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