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RAFAEL R.V. LUCILA MD NPI 1730296211


NPI Information

NPI: 1730296211
Provider Name: RAFAEL R.V. LUCILA MD

Other Name: LUCILA MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
780 ALLWOOD RD
CLIFTON, NJ
ZIP 07012
Phone: (973) 249-6202
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RAFAEL R.V. LUCILA MD is a family medicine in Clifton, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RAFAEL R.V. LUCILA MD NPI is 1730296211. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Lucila Medical.

The provider's business location address is:

780 ALLWOOD RD
CLIFTON, NJ
ZIP 07012-923
Phone: (973) 249-6202
Fax: (973) 249-6203

The provider's authorized official is Rafael R.v. Lucila .
The authorized official title is Physician and has the following contact phone number (973) 249-6202.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 12/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMA061330NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G40613MEDICARE UPINNEW JERSEY
2506116MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
36672001MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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