Chan, Rolycito A
Chan, Rolycito A is an individual health care provider with primary practice located at 350 Engle St 2Nd Floor, Anesthesia Dept, Englewood NJ 07631-1808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chan, Rolycito A can be contacted via phone (201) 894-3322.Contact Information
Primary practice address
350 Engle St 2Nd Floor, Anesthesia Dept
Englewood NJ 07631-1808
Phone: (201) 894-3322
Fax: (201) 894-0585
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA03602400 | New Jersey |
Profile Details
NPI number | 1679541569 |
---|---|
LBN Legal business name | Chan, Rolycito A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2006 |
Last updated | Aug 18th, 2011 - about 13 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 | 1679541569 | NPPES |
New York | MEDICAID | 01060728 | |
New York | MEDICAID | 2500001 |
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