Aventurado, Tito

Aventurado, Tito is an individual health care provider with primary practice located at 355 Grand St , Jersey City NJ 07302-4321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Aventurado, Tito can be contacted via phone (201) 871-6073.

Contact Information

Primary practice address
355 Grand St Jersey City NJ 07302-4321
Phone: (201) 871-6073
Fax: (201) 871-0619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA03735600 New Jersey

Profile Details

NPI number 1336175090
LBN Legal business name Aventurado, Tito
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1336175090 NPPES
New Jersey MEDICAID 1487001
New Jersey Other P00241431

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