Restivo, Carl
Restivo, Carl is an sole proprietor health care provider with primary practice located at 3 Webster Ave , Jersey City NJ 07307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Restivo, Carl can be contacted via phone (201) 798-2900.Contact Information
Primary practice address
3 Webster Ave
Jersey City NJ 07307
Phone: (201) 798-2900
Fax: (201) 798-3582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA03328700 | New Jersey |
Profile Details
| NPI number | 1245217751 |
|---|---|
| LBN Legal business name | Restivo, Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Aug 11th, 2010 - about 16 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 | 1245217751 | NPPES |
| New Jersey | MEDICAID | 44466385J |
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