Entrada, Julian

Entrada, Julian is an individual health care provider with primary practice located at 268 Martin Luther King Jr Blvd , Newark NJ 07102-2011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Entrada, Julian can be contacted via phone (973) 877-5034.

Contact Information

Primary practice address
268 Martin Luther King Jr Blvd Newark NJ 07102-2011
Phone: (973) 877-5034
Fax: (973) 877-5231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA03175300 New Jersey
Other Service Providers / Specialist 174400000X MA31753 New Jersey

Profile Details

NPI number 1104823921
LBN Legal business name Entrada, Julian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 22nd, 2013 - about 13 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 1104823921 NPPES
New Jersey MEDICAID 0358801

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