West, Gerald

West, Gerald is an sole proprietor health care provider with primary practice located at 505 Chestnut Street , Roselle Park NJ 07204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. West, Gerald can be contacted via phone (908) 241-0200.

Contact Information

Primary practice address
505 Chestnut Street Roselle Park NJ 07204
Fax: (908) 241-1615
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 22284 New Jersey
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 22284 New Jersey
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 236854 New York

Profile Details

NPI number 1447205067
LBN Legal business name West, Gerald
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Nov 18th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447205067 NPPES
New Jersey Other 25659 AETNA
New Jersey Other 0729169013 AETNA

Popular Providers