Ciravolo, Louis John

Ciravolo, Louis John is an individual health care provider with primary practice located at 602 S Broadway , Camden NJ 08103-1222. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Ciravolo, Louis John can be contacted via phone (856) 963-2266.

Contact Information

Primary practice address
602 S Broadway Camden NJ 08103-1222
Phone: (856) 963-2266
Fax: (856) 772-2881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X MD02339 New Jersey

Profile Details

NPI number 1780731034
LBN Legal business name Ciravolo, Louis John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 9th, 2007 - about 18 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 1780731034 NPPES
New Jersey MEDICAID 7279302
New Jersey Other 010002883-00
New Jersey Other 1107086

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