Individual
RAFAEL R LUCILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
780 ALLWOOD RD, CLIFTON, NJ 07012-1923
(973) 249-6202
(973) 249-6203
Mailing address
780 ALLWOOD RD, CLIFTON, NJ 07012-1923
(973) 249-6202
(973) 249-6203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06133000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6672001
—
NJ
Enumeration date
06/01/2006
Last updated
04/05/2010
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