Individual
DR. JAVIER JERRY LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
97 W PARKWAY, POMPTON PLAINS, NJ 07444-1647
(973) 831-5120
(973) 831-5342
Mailing address
17 WOODLANDS AVE, WHITE PLAINS, NY 10607-2807
(914) 231-5273
(914) 674-2408
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA05968700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6845509
—
NJ
Enumeration date
10/24/2006
Last updated
07/16/2025
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