Coblentz, Malcolm Guy

Coblentz, Malcolm Guy is an individual health care provider with primary practice located at 55 Morris Ave Suite 304, Springfield NJ 07081-1426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Coblentz, Malcolm Guy can be contacted via phone (973) 486-0108.

Contact Information

Primary practice address
55 Morris Ave Suite 304 Springfield NJ 07081-1426
Phone: (973) 486-0108
Fax: (973) 762-5151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA03059800 New Jersey

Profile Details

NPI number 1356301568
LBN Legal business name Coblentz, Malcolm Guy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated May 5th, 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 1356301568 NPPES
New Jersey MEDICAID 3040305

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