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Individual

DARIO A LECUSAY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9100 WESCOTT DR, SUITE 103, FLEMINGTON, NJ 08822-4677
(908) 237-6910
(908) 237-6919
Mailing address
9100 WESCOTT DR, SUITE 103, FLEMINGTON, NJ 08822-4677
(908) 237-6910
(908) 237-6919

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA69620
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8566101
NJ
Enumeration date
02/15/2006
Last updated
06/27/2012
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