Gubitosa, Louis Carmen

Gubitosa, Louis Carmen is an individual health care provider with primary practice located at 28 Jackson Ave , Pompton Plains NJ 07444. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gubitosa, Louis Carmen can be contacted via phone (973) 831-0382.

Contact Information

Primary practice address
28 Jackson Ave Pompton Plains NJ 07444
Phone: (973) 831-0382
Fax: (973) 831-6942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22D101268100 New Jersey

Profile Details

NPI number 1710031968
LBN Legal business name Gubitosa, Louis Carmen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710031968 NPPES
New Jersey MEDICAID 0669407
New Jersey MEDICAID 3165108

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