Banigo, Samuel A
Banigo, Samuel A is an individual health care provider with primary practice located at 40 Union Ave Ste.204, Irvington NJ 07111-3277. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Banigo, Samuel A can be contacted via phone (973) 416-6981.Contact Information
Primary practice address
40 Union Ave Ste.204
Irvington NJ 07111-3277
Phone: (973) 416-6981
Fax: (973) 375-5766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 25MA07986300 | New Jersey |
Profile Details
| NPI number | 1063503555 |
|---|---|
| LBN Legal business name | Banigo, Samuel A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1063503555 | NPPES |
| New Jersey | MEDICAID | 0098256 |
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