Lukose Simon Vadakara in Jackson - Internal Medicine

Lukose Simon Vadakara - NPI 1255340345

Lukose Simon Vadakara is a Internal Medicine in Jackson, New Jersey. Lukose Simon Vadakara practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lukose Simon Vadakara is 1255340345. The last update date is 2023-12-06.

Lukose Simon Vadakara's current location address is 21 Willetta Dr, Jackson, New Jersey. You can contact this provider via phone number 7329616225. The mailing address for Lukose Simon Vadakara is 21 Willetta Dr, Jackson, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Lukose Simon Vadakara
Address 21 Willetta Dr, Jackson, New Jersey
Phone Number 7329616225
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1255340345
Provider Enumeration Date 2006-08-07
Last Updated Date 2023-12-06

Provider Mailing Address Detail

Address 21 Willetta Dr
City Jackson
State New Jersey (NJ)
Post Code 85274862
Phone Number 7329616225
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MA69469
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60025158 NJ HORIZON NJ HEALTH
8013004 NJ --

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FAQs about Lukose Simon Vadakara

What is the unique identifier code issued to Lukose Simon Vadakara by the Centers for Medicare & Medicaid Services (CMS)?

The Lukose Simon Vadakara has been assigned the NPI (National Provider Identifier) 1255340345. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Lukose Simon Vadakara's facilities are geographically located?

The facilities of Lukose Simon Vadakara are physically situated at the following location: 21 Willetta Dr, Jackson, NJ, 85274862.

What is Lukose Simon Vadakara's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lukose Simon Vadakara is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did the Lukose Simon Vadakara receive the assignment of its 1255340345 from the Centers for Medicare & Medicaid Services?

The Lukose Simon Vadakara was issued its 1255340345 by the Centers for Medicare & Medicaid Services on 2006-08-07.

When was the information regarding Lukose Simon Vadakara, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lukose Simon Vadakara, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-12-06.

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