Katsoulis-Emnace, Maria G

Katsoulis-Emnace, Maria G is an individual health care provider with primary practice located at 495 Jack Martin Blvd , Brick NJ 08724-7778. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Katsoulis-Emnace, Maria G can be contacted via phone (732) 458-5300.

Contact Information

Primary practice address
495 Jack Martin Blvd Brick NJ 08724-7778
Phone: (732) 458-5300
Fax: (732) 458-6356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA06779100 New Jersey

Profile Details

NPI number 1699748848
LBN Legal business name Katsoulis-Emnace, Maria G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Oct 2nd, 2008 - about 16 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 1699748848 NPPES
New Jersey Other P1018643 OXFORD
New Jersey MEDICAID 7807708 OXFORD
New Jersey Other 223360408-022 OXFORD
New Jersey Other 2697111 OXFORD
New Jersey Other 1K1945 OXFORD

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