Manfredonia, Patricia Estrada
Manfredonia, Patricia Estrada is an sole proprietor health care provider with primary practice located at 3 Athens Ave , South Amboy NJ 08879-2401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Manfredonia, Patricia Estrada can be contacted via phone (732) 952-8400.Contact Information
Primary practice address
3 Athens Ave
South Amboy NJ 08879-2401
Phone: (732) 952-8400
Fax: (732) 952-8402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA077165 | New Jersey |
Profile Details
| NPI number | 1639154180 |
|---|---|
| LBN Legal business name | Manfredonia, Patricia Estrada |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jul 27th, 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 | 1639154180 | NPPES |
| New Jersey | MEDICAID | 0040606 |
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