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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336175090 | NPPES |
| New Jersey | MEDICAID | 1487001 | |
| New Jersey | Other | P00241431 |
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