Betta, Joanne

Betta, Joanne is an individual health care provider with primary practice located at 350 Engle St , Englewood NJ 07631-1808. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Betta, Joanne can be contacted via phone (201) 894-3322.

Contact Information

Primary practice address
350 Engle St Englewood NJ 07631-1808
Phone: (201) 894-3322
Fax: (201) 894-0585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA04166300 New Jersey
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 25MA04166300 New Jersey

Profile Details

NPI number 1215989850
LBN Legal business name Betta, Joanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 18th, 2011 - about 13 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 1215989850 NPPES
New Jersey Other 050020586 RAILROAD MEDICARE
New Jersey MEDICAID 00508769 RAILROAD MEDICARE
New Jersey MEDICAID 5525403 RAILROAD MEDICARE

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