Conrad, Michael James

Conrad, Michael James is an individual health care provider with primary practice located at 1261 Route 38 Suite A, Hainesport NJ 08036-2702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Conrad, Michael James can be contacted via phone (856) 222-1975.

Contact Information

Primary practice address
1261 Route 38 Suite A Hainesport NJ 08036-2702
Fax: (856) 222-0721
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA 56634 New Jersey

Profile Details

NPI number 1871542134
LBN Legal business name Conrad, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated May 7th, 2013 - about 11 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 1871542134 NPPES
New Jersey MEDICAID 4551401

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