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
Fax: (201) 894-0585
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679541569 NPPES
New York MEDICAID 01060728
New York MEDICAID 2500001

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