Carlos Sacristan, M.D., Llc

LBN: Carlos Sacristan, M.D., Llc
Carlos Sacristan, M.D., Llc is an health care organization with primary practice located at 17-19 Howe Ave , Passaic NJ 07055-4017. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Carlos Sacristan, M.D., Llc can be contacted via phone (973) 473-4399, or through Sacristan, Carlos via phone (973) 473-4399.

Contact Information

Primary practice address
17-19 Howe Ave Passaic NJ 07055-4017
Phone: (973) 473-4399
Fax: (973) 473-4430
Website:
Map and Directions
Authorized official contact:
Name: Sacristan, Carlos Doctor of Medicine (MD)
Phone: (973) 473-4399

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1629363627
LBN Legal business name Carlos Sacristan, M.D., Llc
DBA Doing business as
Authorized official Sacristan, Carlos Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2011
Last updated Jun 17th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629363627 NPPES
New Jersey MEDICAID 7255306

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