Cannarozzi, Nicholas Anthony

Cannarozzi, Nicholas Anthony is an individual health care provider with primary practice located at 741 Northfield Ave Suite 210, West Orange NJ 07052-1174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Cannarozzi, Nicholas Anthony can be contacted via phone (973) 630-8950.

Contact Information

Primary practice address
741 Northfield Ave Suite 210 West Orange NJ 07052-1174
Phone: (973) 630-8950
Fax: (973) 669-9749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 25MA02173000 New Jersey

Profile Details

NPI number 1194810259
LBN Legal business name Cannarozzi, Nicholas Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 10th, 2016 - about 10 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 1194810259 NPPES
New Jersey Other 25MA02173000 NJ STATE MEDICAL LICENSE
New Jersey Other D02655800 NJ STATE MEDICAL LICENSE
New Jersey Other AC2620448 NJ STATE MEDICAL LICENSE
New Jersey MEDICAID 1987607 NJ STATE MEDICAL LICENSE

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