Corcoran, Eileen M

Corcoran, Eileen M is an individual health care provider with primary practice located at 151 State Route 10 E Suite 105, Succasunna NJ 07876-1452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Corcoran, Eileen M can be contacted via phone (973) 584-0002.

Contact Information

Primary practice address
151 State Route 10 E Suite 105 Succasunna NJ 07876-1452
Phone: (973) 584-0002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NN07350200 New Jersey

Profile Details

NPI number 1356482202
LBN Legal business name Corcoran, Eileen M
Credentials RN, APN,C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 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 1356482202 NPPES
New Jersey MEDICAID 6630103

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