Simone & Condo, Pa

LBN: Dominick Condo, Md Pa
Simone & Condo, Pa is an health care organization with primary practice located at 622 Broadway , Bayonne NJ 07002-3821. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Dominick Condo, Md Pa can be contacted via phone (201) 436-2800, or through Condo, Dominick via phone (201) 436-2800.

Contact Information

Primary practice address
622 Broadway Bayonne NJ 07002-3821
Fax: (201) 436-9840
Website:
Authorized official contact:
Name: Condo, Dominick Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA041384 New Jersey

Profile Details

NPI number 1588764500
LBN Legal business name Dominick Condo, Md Pa
DBA Doing business as Simone & Condo, Pa
Authorized official Condo, Dominick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Sep 9th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588764500 NPPES
New Jersey MEDICAID 1179004
New Jersey Other 1K6533
New Jersey Other 4121298
New Jersey Other 70970
New Jersey Other 8177
New Jersey Other HP095

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