Individual
DR. BEA SHERIDAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 BROADWAY, WEST NEW YORK, NJ 07093
(201) 210-0200
Mailing address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11814800
NJ
Other
Enumeration date
06/18/2020
Last updated
07/06/2023
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