Cefalu, Dimitri
Cefalu, Dimitri is an individual health care provider with primary practice located at 3000 Essex Rd , Tinton Falls NJ 07753-2631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cefalu, Dimitri can be contacted via phone (732) 643-2070.Contact Information
Primary practice address
3000 Essex Rd
Tinton Falls NJ 07753-2631
Phone: (732) 643-2070
Fax: (732) 643-2015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA04689800 | New Jersey |
Profile Details
| NPI number | 1679505879 |
|---|---|
| LBN Legal business name | Cefalu, Dimitri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Sep 16th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679505879 | NPPES |
| Other | 5221142040 | BCBS OF NJ | |
| Other | 04-09805 | BCBS OF NJ | |
| MEDICAID | 0021890 | BCBS OF NJ |
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