Ferdinand, Michel-Ange

Ferdinand, Michel-Ange is an sole proprietor health care provider with primary practice located at 115 Jefferson Ave , Elizabeth NJ 07201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ferdinand, Michel-Ange can be contacted via phone (908) 351-6663.

Contact Information

Primary practice address
115 Jefferson Ave Elizabeth NJ 07201
Phone: (908) 351-6663
Fax: (903) 351-1760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME62196 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA41866 New Jersey

Profile Details

NPI number 1770686289
LBN Legal business name Ferdinand, Michel-Ange
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated May 13th, 2009 - about 17 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 1770686289 NPPES
New Jersey MEDICAID 8654506

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