Verea, Jorge L.

Verea, Jorge L. is an sole proprietor health care provider with primary practice located at 6500 Broadway , West New York NJ 07093-3112. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Verea, Jorge L. can be contacted via phone (201) 864-3456.

Contact Information

Primary practice address
6500 Broadway West New York NJ 07093-3112
Fax: (201) 869-7224
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 47302 New Jersey

Profile Details

NPI number 1164469540
LBN Legal business name Verea, Jorge L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Jan 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164469540 NPPES
New Jersey MEDICAID 3813207

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