Maldonado, Jose Omar
Maldonado, Jose Omar is an individual health care provider with primary practice located at 5301 Broadway , West New York NJ 07093-2622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maldonado, Jose Omar can be contacted via phone (201) 866-7721.Contact Information
Primary practice address
5301 Broadway
West New York NJ 07093-2622
Phone: (201) 866-7721
Fax: (201) 867-9183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA61477 | New Jersey |
Profile Details
| NPI number | 1932142957 |
|---|---|
| LBN Legal business name | Maldonado, Jose Omar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Mar 14th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932142957 | NPPES |
| New Jersey | MEDICAID | 6509509 |
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