Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 25MA09947200 | NJ |
NPI | 1235561796 |
---|---|
Provider Name | Dr. Anthony Lucev |
First Address | Hackensack, NJ 07601-1997 |
Second Address | Fort Lee, NJ 07024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2013 |
Last Update Date | 22/08/2017 |