Individual
DR. LEWIS JOHN DEEUGENIO
Active
Individual
DR. LEWIS JOHN DEEUGENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA03326900
NJ
207R00000X
Internal Medicine Physician
Primary
MD019409E
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MA03326900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025089390001
—
PA
05
—
1650505
—
NJ
Enumeration date
01/17/2006
Last updated
03/21/2017
Update your record
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