John Richard Luksch
Family Doctor - Sports Medicine
42 E Laurel Rd Udp Suite 2100a
Stratford
, New Jersey 08084-1354
John Richard Luksch
Family Doctor - Sports Medicine
42 E Laurel Rd Udp Suite 2100a
Stratford
, New Jersey 08084-1354
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- John Richard Luksch
- 999 Route 73 N Fl 3
- Marlton, NJ
- Zip : 08053-1227
- Phone :
Second Address
- John Richard Luksch
- 42 E Laurel Rd Udp Suite 2100a
- Stratford, NJ
- Zip : 08084-1354
- Fax : (856) 566-6360
- Phone : (856) 566-6477
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 25MB09553700 | NJ |
National Provider Identifier
| NPI | 1144583188 |
|---|---|
| Provider Name | John Richard Luksch |
| First Address | Marlton, NJ 08053-1227 |
| Second Address | Stratford, NJ 08084-1354 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2012 |
| Last Update Date | 28/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.