Cannarozzi, Nicholas Anthony
Cannarozzi, Nicholas Anthony is an individual health care provider with primary practice located at 741 Northfield Ave Suite 210, West Orange NJ 07052-1174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Cannarozzi, Nicholas Anthony can be contacted via phone (973) 630-8950.Contact Information
Primary practice address
741 Northfield Ave Suite 210
West Orange NJ 07052-1174
Phone: (973) 630-8950
Fax: (973) 669-9749
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 25MA02173000 | New Jersey |
Profile Details
NPI number | 1194810259 |
---|---|
LBN Legal business name | Cannarozzi, Nicholas Anthony |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2006 |
Last updated | Feb 10th, 2016 - about 9 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 | 1194810259 | NPPES |
New Jersey | Other | 25MA02173000 | NJ STATE MEDICAL LICENSE |
New Jersey | Other | D02655800 | NJ STATE MEDICAL LICENSE |
New Jersey | Other | AC2620448 | NJ STATE MEDICAL LICENSE |
New Jersey | MEDICAID | 1987607 | NJ STATE MEDICAL LICENSE |
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