Clemente, Roderick John

Clemente, Roderick John is an sole proprietor health care provider with primary practice located at 96 Gates Avenue , Montclair NJ 07042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Clemente, Roderick John can be contacted via phone (973) 744-3166.

Contact Information

Primary practice address
96 Gates Avenue Montclair NJ 07042
Phone: (973) 744-3166
Fax: (973) 744-3199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 25MA04150100 New Jersey

Profile Details

NPI number 1053405654
LBN Legal business name Clemente, Roderick John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jun 23rd, 2010 - about 15 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 1053405654 NPPES
New Jersey Other 582676791 TAX ID#

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