Matienzo, Ricardo
Matienzo, Ricardo is an sole proprietor health care provider with primary practice located at 450 7Th St Suite 9, Hoboken NJ 07030-2057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matienzo, Ricardo can be contacted via phone (201) 659-0711.Contact Information
Primary practice address
450 7Th St Suite 9
Hoboken NJ 07030-2057
Phone: (201) 659-0711
Fax: (201) 659-4117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA075238 | New Jersey |
Profile Details
| NPI number | 1306833660 |
|---|---|
| LBN Legal business name | Matienzo, Ricardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Sep 6th, 2012 - about 12 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 | 1306833660 | NPPES |
| New Jersey | MEDICAID | 9033009 |
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