Secillano, Teddy
Secillano, Teddy is an sole proprietor health care provider with primary practice located at 9020 Wall St , North Bergen NJ 07047-6011. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics is his primary health care specialty. Secillano, Teddy can be contacted via phone (201) 861-4040.Contact Information
Primary practice address
9020 Wall St
North Bergen NJ 07047-6011
Phone: (201) 861-4040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 40QA01420100 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 40QA01420100 | New Jersey |
Profile Details
| NPI number | 1982961470 |
|---|---|
| LBN Legal business name | Secillano, Teddy |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2012 |
| Last updated | Apr 20th, 2012 - about 14 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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