Coletta, Domenic
Coletta, Domenic is an individual health care provider with primary practice located at 2 Stone Harbor Boulevard Burdette Tomlin Memorial Hospital Emergency Department, Cape May Court House NJ 08210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Coletta, Domenic can be contacted via phone (609) 463-2339.Contact Information
Primary practice address
2 Stone Harbor Boulevard Burdette Tomlin Memorial Hospital Emergency Department
Cape May Court House NJ 08210
Phone: (609) 463-2339
Fax: (609) 463-2946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MA04617200 | New Jersey |
Profile Details
| NPI number | 1487681391 |
|---|---|
| LBN Legal business name | Coletta, Domenic |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Aug 4th, 2008 - about 16 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 | 1487681391 | NPPES |
| New Jersey | MEDICAID | 1435701 |
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