Larsen, Bartley A

Larsen, Bartley A is an individual health care provider with primary practice located at 44 Grasmere Way , Princeton NJ 08540-7549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Larsen, Bartley A can be contacted via phone (609) 947-0581.

Contact Information

Primary practice address
44 Grasmere Way Princeton NJ 08540-7549
Phone: (609) 947-0581
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MA04242200 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 140012 New York

Profile Details

NPI number 1982600672
LBN Legal business name Larsen, Bartley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jan 26th, 2012 - about 13 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 1982600672 NPPES
New Jersey MEDICAID 0909203

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