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
Fax: (973) 466-1117
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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