Blanco, Renato J
Blanco, Renato J is an sole proprietor health care provider with primary practice located at 539 Clifton Ave , Clifton NJ 07011-3229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blanco, Renato J can be contacted via phone (973) 472-1878.Contact Information
Primary practice address
539 Clifton Ave
Clifton NJ 07011-3229
Phone: (973) 472-1878
Fax: (732) 679-2750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA043897 | New Jersey |
Profile Details
| NPI number | 1518936046 |
|---|---|
| LBN Legal business name | Blanco, Renato J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jan 24th, 2008 - about 16 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 | 1518936046 | NPPES |
| New Jersey | MEDICAID | 5300606 |
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