Sotillo, Melissa Maria

Sotillo, Melissa Maria is an sole proprietor health care provider with primary practice located at 147 Woodport Rd , Sparta NJ 07871-2339. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sotillo, Melissa Maria can be contacted via phone (973) 726-0801.

Contact Information

Primary practice address
147 Woodport Rd Sparta NJ 07871-2339
Phone: (973) 726-0801
Fax: (973) 726-0802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA07760500 New Jersey

Profile Details

NPI number 1184613077
LBN Legal business name Sotillo, Melissa Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Nov 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184613077 NPPES
New Jersey MEDICAID 0051144

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