Conserva, Martin Peter
Conserva, Martin Peter is an individual health care provider with primary practice located at 730 Clifton Avenue , Clifton NJ 07013. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Conserva, Martin Peter can be contacted via phone (973) 778-4777.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | MD00070400 | New Jersey |
Profile Details
| NPI number | 1205908837 |
|---|---|
| LBN Legal business name | Conserva, Martin Peter |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1205908837 | NPPES |
| New Jersey | MEDICAID | 2071908 |
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