Bethel, Colin A

Bethel, Colin A is an individual health care provider with primary practice located at 2130 Millburn Avenue Suite C-1, Maplewood NJ 07040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Bethel, Colin A can be contacted via phone (888) 287-3652.

Contact Information

Primary practice address
2130 Millburn Avenue Suite C-1 Maplewood NJ 07040
Phone: (888) 287-3652
Fax: (973) 549-6079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 25MA06559800 New Jersey

Profile Details

NPI number 1871528943
LBN Legal business name Bethel, Colin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Dec 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871528943 NPPES
New Jersey MEDICAID 7346409

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