Guntunur, Manorama

Guntunur, Manorama is an individual health care provider with primary practice located at 7821 Bergenline Ave , North Bergen NJ 07047-4942. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Guntunur, Manorama can be contacted via phone (201) 869-0030.

Contact Information

Primary practice address
7821 Bergenline Ave North Bergen NJ 07047-4942
Fax: (201) 869-0020
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI20520 New Jersey

Profile Details

NPI number 1124017843
LBN Legal business name Guntunur, Manorama
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
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 1124017843 NPPES
New Jersey Other 1086983 HORIZON HEALTH/MERCY
New Jersey Other 20520 HORIZON HEALTH/MERCY
New Jersey Other AETNA HORIZON HEALTH/MERCY
New Jersey Other 985772 HORIZON HEALTH/MERCY
New Jersey Other 016386 HORIZON HEALTH/MERCY
New Jersey Other 223354 HORIZON HEALTH/MERCY
New Jersey MEDICAID 7794509 HORIZON HEALTH/MERCY

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