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NPI Code Detail

MEDICARE: M. LUPOVICI, M.D., P.A.

MEDICARE: M. LUPOVICI, M.D., P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMAO34309NJ
2207RH0003XHematology & Oncology Physician25MA03738200NJ
3207RG0100XGastroenterology Physician34309NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20666967013OTHERNJCIGNA/SPECIALIST
3516050OTHERNJAETNA/HMO
44058986OTHERNJAMERIHEALTH PPO
50666967014OTHERNJCIGNA PCP/PRIMARY CARE
61543982OTHERNJUNITED HEALTH CARE
70107057000OTHERNJAMERIHEALTH HMO
84058986OTHERNJAETNA/PPO
9DR8706OTHERNJOXFORD HEALTH

General Provider Information

NPI Number : 1952561854
Entity Type Code : Organization
Provider Name (Legal Business Name) : M. LUPOVICI, M.D., P.A.
Provider Business Mailing Address
First Line : 254 PRINCETON HIGHTSTOWN RD
Second Line :
City : EAST WINDSOR
State : NJ
Zip : 08520-1402
Country : US
Telephone Number : 609-448-7200
Fax Number : 609-448-4607
Provider Business Practice Location Address
First Line : 254 PRINCETON HIGHTSTOWN RD
Second Line :
City : EAST WINDSOR
State : NJ
Zip : 08520-1402
Country : US
Telephone Number : 609-448-7200
Fax Number : 609-448-4607
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. MELISSA LYON
Credential :
Telephone Number : 609-448-7200
Provider Enumeration Date : 06/13/2008
Last Update Date : 05/05/2016

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