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Contact Information

JEAN PAUL C LUCKE, DO
305 BLACK ROCK TPKE
FAIRFIELD, CT06825-5508
 Phone: 203-337-2600
 Fax: 203-337-2666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JEAN PAUL C LUCKE · (Male)

NPI # 1396056834
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/30/2010
Last updated 01/27/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 53143
  • NJ License # 25MB10306200
  • PA License # OS015781
Hospital affiliation(s)
  • DOYLESTOWN HOSPITAL - (Acute Care)
    595 WEST STATE ST
    DOYLESTOWN, PA 18901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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