Pardes, Jorge Gustavo

Pardes, Jorge Gustavo is an individual health care provider with primary practice located at 300 2Nd Ave , Long Branch NJ 07740-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pardes, Jorge Gustavo can be contacted via phone (732) 923-7700.

Contact Information

Primary practice address
300 2Nd Ave Long Branch NJ 07740-6303
Phone: (732) 923-7700
Fax: (732) 923-7710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD049953L Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA08326800 New Jersey

Profile Details

NPI number 1457349011
LBN Legal business name Pardes, Jorge Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Oct 14th, 2011 - about 15 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 1457349011 NPPES
Pennsylvania MEDICAID 0844459
Pennsylvania Other 483261
Pennsylvania MEDICAID 0014226300005
Pennsylvania MEDICAID 0149420

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