| Tricounty Physician Homecare Llc | |
|
716 Newman Springs Rd Box 231 Lincroft NJ 07738-1523 | |
| (908) 925-9309 | |
| (908) 925-7910 |
| Full Name | Tricounty Physician Homecare Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 716 Newman Springs Rd, Lincroft, New Jersey |
| Authorized Official Name and Position | Kevin E. Lukenda (D.O.) |
| Authorized Official Contact | 9089259309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricounty Physician Homecare Llc 716 Newman Springs Rd Box 231 Lincroft NJ 07738-1523 Ph: (908) 925-9309 | Tricounty Physician Homecare Llc 716 Newman Springs Rd Box 231 Lincroft NJ 07738-1523 Ph: (908) 925-9309 |
| NPI Number | 1710221346 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 11/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710221346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 25MBO5511300 (New Jersey) | Primary |