Decosmo, Michael J.
Decosmo, Michael J. is an sole proprietor health care provider with primary practice located at 2201 Chapel Ave W Suite 102, Cherry Hill NJ 08002-2048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Decosmo, Michael J. can be contacted via phone (856) 662-7883.Contact Information
Primary practice address
2201 Chapel Ave W Suite 102
Cherry Hill NJ 08002-2048
Phone: (856) 662-7883
Fax: (856) 662-5838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MBO25986 | New Jersey |
Profile Details
| NPI number | 1376519645 |
|---|---|
| LBN Legal business name | Decosmo, Michael J. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jul 13th, 2024 - about 2 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 | 1376519645 | NPPES |
| New Jersey | MEDICAID | 3901408 |
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