Archer, Jonathan M

Archer, Jonathan M is an individual health care provider with primary practice located at 730 Palisade Ave First Floor, Teaneck NJ 07666-3144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Archer, Jonathan M can be contacted via phone (201) 353-9000.

Contact Information

Primary practice address
730 Palisade Ave First Floor Teaneck NJ 07666-3144
Fax: (201) 530-0003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 25MA06794900 New Jersey

Profile Details

NPI number 1205879525
LBN Legal business name Archer, Jonathan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 11th, 2024 - about 8 months 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 1205879525 NPPES
New Jersey MEDICAID 8105405

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