Bordan, Dennis Lawrence
Bordan, Dennis Lawrence is an sole proprietor health care provider with primary practice located at 201 Lyons Ave , Newark NJ 07112-2027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bordan, Dennis Lawrence can be contacted via phone (973) 926-7330.Contact Information
Primary practice address
201 Lyons Ave
Newark NJ 07112-2027
Phone: (973) 926-7330
Fax: (973) 923-8757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA07856500 | New Jersey |
Profile Details
| NPI number | 1164487559 |
|---|---|
| LBN Legal business name | Bordan, Dennis Lawrence |
| Credentials | M.D., F.A.C.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jun 17th, 2014 - about 10 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 | 1164487559 | NPPES |
| New Jersey | MEDICAID | 316641 |
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