Canosa, Omar

Canosa, Omar is an sole proprietor health care provider with primary practice located at 37 Kings Rd Ste 202, Madison NJ 07940-2500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Canosa, Omar can be contacted via phone (973) 520-8848.

Contact Information

Primary practice address
37 Kings Rd Ste 202 Madison NJ 07940-2500
Phone: (973) 520-8848
Fax: (973) 200-8088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD427434 Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 25MA08381800 New Jersey

Profile Details

NPI number 1841241494
LBN Legal business name Canosa, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jun 13th, 2014 - about 11 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 1841241494 NPPES
New Jersey Other 25MA08381800 LICENSE NUMBER
New Jersey Other MD427434 LICENSE NUMBER

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