Incandela, Nicholas Joseph

Incandela, Nicholas Joseph is an individual health care provider with primary practice located at 65 Jimmie Leeds Rd Dept Of Anesthiology, Pomona NJ 08240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Incandela, Nicholas Joseph can be contacted via phone (609) 748-7597.

Contact Information

Primary practice address
65 Jimmie Leeds Rd Dept Of Anesthiology Pomona NJ 08240
Phone: (609) 748-7597
Fax: (609) 748-7586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 197184 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA08125200 New Jersey

Profile Details

NPI number 1336176767
LBN Legal business name Incandela, Nicholas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336176767 NPPES
New York MEDICAID 01690500

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