Agresti, James Vincent

Agresti, James Vincent is an sole proprietor health care provider with primary practice located at 609 Kenilworth Boulevard , Kenilworth NJ 07033-1616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Agresti, James Vincent can be contacted via phone (908) 272-0777.

Contact Information

Primary practice address
609 Kenilworth Boulevard Kenilworth NJ 07033-1616
Fax: (908) 272-6064
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MB04626400 New Jersey

Profile Details

NPI number 1306931837
LBN Legal business name Agresti, James Vincent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1306931837 NPPES
New Jersey MEDICAID 1529102

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