Coleman, Reginald Oliver
Coleman, Reginald Oliver is an individual health care provider with primary practice located at 2728 Kennedy Blvd , Jersey City NJ 07306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Coleman, Reginald Oliver can be contacted via phone (201) 433-7817.Contact Information
Primary practice address
2728 Kennedy Blvd
Jersey City NJ 07306
Phone: (201) 433-7817
Fax: (201) 433-6044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MAO34158 | New Jersey |
Profile Details
| NPI number | 1164596565 |
|---|---|
| LBN Legal business name | Coleman, Reginald Oliver |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164596565 | NPPES |
| New Jersey | MEDICAID | 1283405 |
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