Cantey, Mary Daisy

Cantey, Mary Daisy is an individual health care provider with primary practice located at 90 Bergen St , Newark NJ 07103-2425. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Cantey, Mary Daisy can be contacted via phone (973) 972-6635.

Contact Information

Primary practice address
90 Bergen St Newark NJ 07103-2425
Phone: (973) 972-6635
Fax: (973) 972-0956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07425300 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07425300 New Jersey

Profile Details

NPI number 1851422687
LBN Legal business name Cantey, Mary Daisy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jun 8th, 2009 - about 17 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 1851422687 NPPES
New Jersey MEDICAID 8941106

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