Vicente, Virgilio Coronado
Vicente, Virgilio Coronado is an sole proprietor health care provider with primary practice located at 155 Jefferson St Suite # 3, Newark NJ 07105-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vicente, Virgilio Coronado can be contacted via phone (973) 466-0300.Contact Information
Primary practice address
155 Jefferson St Suite # 3
Newark NJ 07105-1706
Phone: (973) 466-0300
Fax: (973) 466-1117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA06381500 | New Jersey |
Profile Details
| NPI number | 1780790998 |
|---|---|
| LBN Legal business name | Vicente, Virgilio Coronado |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Aug 25th, 2016 - about 10 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 | 1780790998 | NPPES |
| Other | 607241 | EMPIRE | |
| Other | 7949804 | EMPIRE | |
| Other | 8763000002 | EMPIRE | |
| Other | K0845 | EMPIRE | |
| Other | 01000200803 | EMPIRE | |
| Other | 01000200800 | EMPIRE | |
| Other | 8763000 | EMPIRE | |
| Other | 2072459000 | EMPIRE | |
| Other | 2017754 | EMPIRE | |
| MEDICAID | 7949804 | EMPIRE | |
| Other | 2327481 | EMPIRE | |
| Other | 25087 | EMPIRE | |
| Other | 2695833 | EMPIRE | |
| Other | P3512598 | EMPIRE | |
| Other | 607241 | EMPIRE | |
| Other | 91899 | EMPIRE | |
| Other | 1135312 | EMPIRE | |
| Other | 2366072 | EMPIRE | |
| Other | 2K5847 | EMPIRE | |
| Other | 91899 | EMPIRE |
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