Organization
TRI COUNTY PHYSICIAN HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN E LUKENDA D.O. (DOCTOR)
(908) 925-9309
Entity
Organization
Contact information
Practice address
850 N WOOD AVE, LINDEN, NJ 07036-4038
(908) 925-9309
(908) 925-7910
Mailing address
PO BOX 231, LINCROFT, NJ 07738-0231
(908) 925-9309
(908) 925-7910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB55113
NJ
Other
Enumeration date
03/28/2007
Last updated
06/25/2008
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