Carvajal, Martha

Carvajal, Martha is an sole proprietor health care provider with primary practice located at 221 60Th St , West New York NJ 07093-2805. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Carvajal, Martha can be contacted via phone (201) 758-9300.

Contact Information

Primary practice address
221 60Th St West New York NJ 07093-2805
Phone: (201) 758-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MB00260600 New Jersey

Profile Details

NPI number 1194864041
LBN Legal business name Carvajal, Martha
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1194864041 NPPES
New Jersey MEDICAID 8340307

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