Malantic, Vivina Corteza
Malantic, Vivina Corteza is an sole proprietor health care provider with primary practice located at 21 Baldwin Ave , Jersey City NJ 07304-3155. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Malantic, Vivina Corteza can be contacted via phone (201) 333-8830.Contact Information
Primary practice address
21 Baldwin Ave
Jersey City NJ 07304-3155
Phone: (201) 333-8830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA02450800 | New Jersey |
Profile Details
| NPI number | 1073639076 |
|---|---|
| LBN Legal business name | Malantic, Vivina Corteza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073639076 | NPPES |
| New Jersey | Other | 60004980 | HORIZON NJ HEALTH |
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