Cantillon, Marc

Cantillon, Marc is an sole proprietor health care provider with primary practice located at 134 Walnut St , Livingston NJ 07039-2513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cantillon, Marc can be contacted via phone (973) 462-0496.

Contact Information

Primary practice address
134 Walnut St Livingston NJ 07039-2513
Phone: (973) 462-0496
Fax: (973) 486-8344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA07805000 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 190659 New York

Profile Details

NPI number 1427037803
LBN Legal business name Cantillon, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2006
Last updated Jun 19th, 2008 - about 16 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 1427037803 NPPES
New Jersey MEDICAID 0070572
New Jersey Other 567BS

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