Manocchio, Stephen J
Manocchio, Stephen J is an sole proprietor health care provider with primary practice located at 268 Dr Martin Luther King Jr Blvd , Newark NJ 07102-2011. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Manocchio, Stephen J can be contacted via phone (973) 877-2586.Contact Information
Primary practice address
268 Dr Martin Luther King Jr Blvd
Newark NJ 07102-2011
Phone: (973) 877-2586
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA38532 | New Jersey |
Profile Details
| NPI number | 1891731766 |
|---|---|
| LBN Legal business name | Manocchio, Stephen J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Mar 6th, 2008 - 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 | 1891731766 | NPPES |
| New Jersey | MEDICAID | 048640 |
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