Cervenak, Betty Ann

Cervenak, Betty Ann is an individual health care provider with primary practice located at 203 Palisade Ave , Jersey City NJ 07306-1112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Cervenak, Betty Ann can be contacted via phone (201) 653-5722.

Contact Information

Primary practice address
203 Palisade Ave Jersey City NJ 07306-1112
Phone: (201) 653-5722
Fax: (201) 792-9718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MA40986 New Jersey

Profile Details

NPI number 1134228679
LBN Legal business name Cervenak, Betty Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 3rd, 2011 - about 15 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 1134228679 NPPES
New Jersey MEDICAID 4797809
New Jersey Other 180018116

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