Cassotta, Joseph Philip

Cassotta, Joseph Philip is an individual health care provider with primary practice located at 1600 Center Ave , Fort Lee NJ 07024-4731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cassotta, Joseph Philip can be contacted via phone (201) 585-7511.

Contact Information

Primary practice address
1600 Center Ave Fort Lee NJ 07024-4731
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42457 New Jersey

Profile Details

NPI number 1093870776
LBN Legal business name Cassotta, Joseph Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2006
Last updated Jul 9th, 2010 - about 14 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 1093870776 NPPES
New Jersey MEDICAID 0478903

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