Repole, Adam N

Repole, Adam N is an individual health care provider with primary practice located at 475 Route # 70 Suite 101, Lakewood NJ 08701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Repole, Adam N can be contacted via phone (732) 364-8000.

Contact Information

Primary practice address
475 Route # 70 Suite 101 Lakewood NJ 08701
Fax: (732) 364-4601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA06092000 New Jersey

Profile Details

NPI number 1619902046
LBN Legal business name Repole, Adam N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1619902046 NPPES
New Jersey MEDICAID 6243509

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