Tecson, Mariavida Tupaz
Tecson, Mariavida Tupaz is an sole proprietor health care provider with primary practice located at 116 Millburn Ave Suite 207, Millburn NJ 07041-1919. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Tecson, Mariavida Tupaz can be contacted via phone (973) 921-9321.Contact Information
Primary practice address
116 Millburn Ave Suite 207
Millburn NJ 07041-1919
Phone: (973) 921-9321
Fax: (973) 921-9323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | New Jersey |
Profile Details
| NPI number | 1518043470 |
|---|---|
| LBN Legal business name | Tecson, Mariavida Tupaz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1518043470 | NPPES |
| New Jersey | MEDICAID | 0047031 |
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