Bagel, Jerry
Bagel, Jerry is an individual health care provider with primary practice located at 59 One Mile Rd Ste G, East Windsor NJ 08520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bagel, Jerry can be contacted via phone (609) 443-4500.Contact Information
Primary practice address
59 One Mile Rd Ste G
East Windsor NJ 08520
Phone: (609) 443-4500
Fax: (609) 443-4808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA04445900 | New Jersey |
Profile Details
| NPI number | 1992772156 |
|---|---|
| LBN Legal business name | Bagel, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 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 | 1992772156 | NPPES |
| New Jersey | MEDICAID | 1296400 |
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