Defazio, Peter A
Defazio, Peter A is an sole proprietor health care provider with primary practice located at 279 3Rd Ave Suite 303, Long Branch NJ 07740-6205. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Defazio, Peter A can be contacted via phone (732) 222-1533.Contact Information
Primary practice address
279 3Rd Ave Suite 303
Long Branch NJ 07740-6205
Phone: (732) 222-1533
Fax: (732) 222-7715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 17239 | New Jersey |
Profile Details
| NPI number | 1770614331 |
|---|---|
| LBN Legal business name | Defazio, Peter A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 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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