Marticorena, Otilia
Marticorena, Otilia is an sole proprietor health care provider with primary practice located at 768 Newark Ave , Elizabeth NJ 07208-3536. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Marticorena, Otilia can be contacted via phone (908) 355-8555.Contact Information
Primary practice address
768 Newark Ave
Elizabeth NJ 07208-3536
Phone: (908) 355-8555
Fax: (908) 355-8590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI01915100 | New Jersey |
Profile Details
| NPI number | 1528119849 |
|---|---|
| LBN Legal business name | Marticorena, Otilia |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1528119849 | NPPES |
| New Jersey | MEDICAID | 7573201 |
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