Organization
RAFAEL R.V. LUCILA MD
Active
Other names
LUCILA MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL R.V. LUCILA M.D. (PHYSICIAN)
(973) 249-6202
Entity
Organization
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
MA061330
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6672001
—
NJ
Enumeration date
08/23/2006
Last updated
12/17/2007
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