Lefavour, Gertrude S.

Lefavour, Gertrude S. is an individual health care provider with primary practice located at 125 Paterson St Suite 5100B, New Brunswick NJ 08901-1962. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Lefavour, Gertrude S. can be contacted via phone (732) 235-6512.

Contact Information

Primary practice address
125 Paterson St Suite 5100B New Brunswick NJ 08901-1962
Phone: (732) 235-6512
Fax: (732) 235-6124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA57307 New Jersey

Profile Details

NPI number 1841216397
LBN Legal business name Lefavour, Gertrude S.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Sep 19th, 2011 - 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 1841216397 NPPES
New Jersey Other 390002448 R R MCR
New Jersey MEDICAID 5051509 R R MCR

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