Restrepo, Mauricio
Restrepo, Mauricio is an sole proprietor health care provider with primary practice located at 2 E Blackwell St Suite 19, Dover NJ 07801-4645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Restrepo, Mauricio can be contacted via phone (973) 620-9924.Contact Information
Primary practice address
2 E Blackwell St Suite 19
Dover NJ 07801-4645
Phone: (973) 620-9924
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA08639500 | New Jersey |
Profile Details
| NPI number | 1568608370 |
|---|---|
| LBN Legal business name | Restrepo, Mauricio |
| Credentials | M.D. FAAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2008 |
| Last updated | Oct 4th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568608370 | NPPES |
| New Jersey | MEDICAID | 0296970 |
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