Collado-Cocke, Anna Altagracia

Collado-Cocke, Anna Altagracia is an sole proprietor health care provider with primary practice located at 150 Overlook Avenue Office #1, Hackensack NJ 07601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Collado-Cocke, Anna Altagracia can be contacted via phone (201) 342-1191.

Contact Information

Primary practice address
150 Overlook Avenue Office #1 Hackensack NJ 07601
Phone: (201) 342-1191
Fax: (201) 342-1195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MB52499 New Jersey

Profile Details

NPI number 1215992011
LBN Legal business name Collado-Cocke, Anna Altagracia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Jan 12th, 2012 - about 14 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 1215992011 NPPES
New Jersey MEDICAID 5214009

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