Agudelo, Miguel

Agudelo, Miguel is an individual health care provider with primary practice located at 201 Lyons Ave , Newark NJ 07112-2027. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Agudelo, Miguel can be contacted via phone (800) 843-2384.

Contact Information

Primary practice address
201 Lyons Ave Newark NJ 07112-2027
Phone: (800) 843-2384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1336725100
LBN Legal business name Agudelo, Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2021
Last updated Mar 24th, 2021 - about 4 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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