Desalvo, Eugene L
Desalvo, Eugene L is an sole proprietor health care provider with primary practice located at 515 Iron Bridge Rd , Freehold NJ 07728-5300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Desalvo, Eugene L can be contacted via phone (732) 780-3434.Contact Information
Primary practice address
515 Iron Bridge Rd
Freehold NJ 07728-5300
Phone: (732) 780-3434
Fax: (732) 780-9334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MA31852 | New Jersey |
Profile Details
| NPI number | 1699757898 |
|---|---|
| LBN Legal business name | Desalvo, Eugene L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jun 29th, 2010 - about 14 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 | 1699757898 | NPPES |
| New Jersey | MEDICAID | 3051200 |
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