Individual
POMPEO A. LUCCIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8601
(908) 277-8706
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06931600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7978107
—
NJ
Enumeration date
06/02/2006
Last updated
07/23/2019
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