Borja, Manuel Lopez
Borja, Manuel Lopez is an sole proprietor health care provider with primary practice located at 201 Palisade Ave , Jersey City NJ 07306-1112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Borja, Manuel Lopez can be contacted via phone (201) 792-3612.Contact Information
Primary practice address
201 Palisade Ave
Jersey City NJ 07306-1112
Phone: (201) 792-3612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MA41473 | New Jersey |
Profile Details
| NPI number | 1578504205 |
|---|---|
| LBN Legal business name | Borja, Manuel Lopez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Mar 14th, 2012 - about 12 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 | 1578504205 | NPPES |
| New Jersey | MEDICAID | 3943607 |
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