Anderson, Patrick St. George
Anderson, Patrick St. George is an sole proprietor health care provider with primary practice located at 120 Irvington Ave , South Orange NJ 07079-1904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Anderson, Patrick St. George can be contacted via phone (973) 762-7270.Contact Information
Primary practice address
120 Irvington Ave
South Orange NJ 07079-1904
Phone: (973) 762-7270
Fax: (973) 762-1980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 25MA07363800 | New Jersey |
Profile Details
| NPI number | 1376548925 |
|---|---|
| LBN Legal business name | Anderson, Patrick St. George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2005 |
| Last updated | May 17th, 2011 - about 14 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 | 1376548925 | NPPES |
| New Jersey | Other | 25MA07363800 | MEDICAL LICENSES NUMBER |
| New Jersey | MEDICAID | 9003703 | MEDICAL LICENSES NUMBER |
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