Provider Demographics
NPI:1992037733
Name:CHEST & INTENSIVE CARE MEDICINE, LLC
Entity Type:Organization
Organization Name:CHEST & INTENSIVE CARE MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-873-9682
Mailing Address - Street 1:35 CLYDE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5033
Mailing Address - Country:US
Mailing Address - Phone:732-873-9682
Mailing Address - Fax:732-873-9683
Practice Address - Street 1:35 CLYDE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5033
Practice Address - Country:US
Practice Address - Phone:732-873-9682
Practice Address - Fax:732-873-9683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty