Pecorelli, Nicholas T

Pecorelli, Nicholas T is an sole proprietor health care provider with primary practice located at 245 Valley Blvd , Wood-Ridge NJ 07075-1236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pecorelli, Nicholas T can be contacted via phone (201) 438-5500.

Contact Information

Primary practice address
245 Valley Blvd Wood-Ridge NJ 07075-1236
Phone: (201) 438-5500
Fax: (201) 438-3363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06462500 New Jersey

Profile Details

NPI number 1699744755
LBN Legal business name Pecorelli, Nicholas T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Dec 4th, 2012 - about 13 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 1699744755 NPPES
New Jersey Other P867458 OXFORD
New Jersey Other 5151665 OXFORD
New Jersey MEDICAID 7088407 OXFORD
New Jersey Other 8097769 OXFORD
New Jersey Other 1K5877 OXFORD
New Jersey Other 110207170 OXFORD

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