Medina Carcamo, Edwing Gerardo

Medina Carcamo, Edwing Gerardo is an sole proprietor health care provider with primary practice located at 750 Brunswick Ave , Trenton NJ 08638-4143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Medina Carcamo, Edwing Gerardo can be contacted via phone (609) 394-6000.

Contact Information

Primary practice address
750 Brunswick Ave Trenton NJ 08638-4143
Phone: (609) 394-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 25MA08361900 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08361900 New Jersey

Profile Details

NPI number 1184889271
LBN Legal business name Medina Carcamo, Edwing Gerardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2008
Last updated May 28th, 2021 - about 5 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 1184889271 NPPES
New Jersey MEDICAID 0195901

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