Sagullo, Nestor
Sagullo, Nestor is an individual health care provider with primary practice located at 679 Montgomery St , Jersey City NJ 07306-3324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sagullo, Nestor can be contacted via phone (201) 433-6500.Contact Information
Primary practice address
679 Montgomery St
Jersey City NJ 07306-3324
Phone: (201) 433-6500
Fax: (201) 433-8010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA02668100 | New Jersey |
Profile Details
| NPI number | 1306898473 |
|---|---|
| LBN Legal business name | Sagullo, Nestor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jun 4th, 2008 - about 18 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 | 1306898473 | NPPES |
| New Jersey | MEDICAID | 8719004 |
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