Bontemps, Serge

Bontemps, Serge is an individual health care provider with primary practice located at 681 Broadway , Paterson NJ 07514-1421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bontemps, Serge can be contacted via phone (973) 278-1000.

Contact Information

Primary practice address
681 Broadway Paterson NJ 07514-1421
Fax: (973) 278-1709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MA24361 New Jersey

Profile Details

NPI number 1538240817
LBN Legal business name Bontemps, Serge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538240817 NPPES
New Jersey MEDICAID 0522309

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