Baranetsky, Nicholas G

Baranetsky, Nicholas G is an sole proprietor health care provider with primary practice located at 268 Dr Martin Luther King Jr Blvd Ste B , Newark NJ 07102-2011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Baranetsky, Nicholas G can be contacted via phone (973) 877-5185.

Contact Information

Primary practice address
268 Dr Martin Luther King Jr Blvd Ste B Newark NJ 07102-2011
Phone: (973) 877-5185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MA046790 New Jersey

Profile Details

NPI number 1093808164
LBN Legal business name Baranetsky, Nicholas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Mar 30th, 2021 - about 4 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 1093808164 NPPES
Other 28530 AETNA
Other E5102 AETNA
MEDICAID 1080709 AETNA

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