Conserva, Martin Peter

Conserva, Martin Peter is an individual health care provider with primary practice located at 730 Clifton Avenue , Clifton NJ 07013. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Conserva, Martin Peter can be contacted via phone (973) 778-4777.

Contact Information

Primary practice address
730 Clifton Avenue Clifton NJ 07013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD00070400 New Jersey

Profile Details

NPI number 1205908837
LBN Legal business name Conserva, Martin Peter
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1205908837 NPPES
New Jersey MEDICAID 2071908

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