Fertakos, Roy J

Fertakos, Roy J is an sole proprietor health care provider with primary practice located at 801 Ostrum St , Bethlehem PA 18015-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fertakos, Roy J can be contacted via phone (484) 526-4000.

Contact Information

Primary practice address
801 Ostrum St Bethlehem PA 18015-1000
Phone: (484) 526-4000
Fax: (706) 653-1230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA05686200 New Jersey
Other Service Providers / Specialist 174400000X 25MA05686200 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 062399L Pennsylvania

Profile Details

NPI number 1356448773
LBN Legal business name Fertakos, Roy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Sep 3rd, 2020 - about 6 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 1356448773 NPPES
New Jersey Other 300110976 RAILROAD MEDICARE - SMC
New Jersey MEDICAID 001668701 RAILROAD MEDICARE - SMC
New Jersey Other 300110976 RAILROAD MEDICARE - SMC
New Jersey Other 300110976 RAILROAD MEDICARE - SMC
New Jersey MEDICAID 8224005 RAILROAD MEDICARE - SMC
New Jersey Other 300110976 RAILROAD MEDICARE - SMC

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