Medunick, David M
Medunick, David M is an individual health care provider with primary practice located at 89 Sparta Ave Ste 100, Sparta NJ 07871-1777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Medunick, David M can be contacted via phone (973) 729-2121.Contact Information
Primary practice address
89 Sparta Ave Ste 100
Sparta NJ 07871-1777
Phone: (973) 729-2121
Fax: (973) 729-3454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MB07739200 | New Jersey |
Profile Details
| NPI number | 1861488736 |
|---|---|
| LBN Legal business name | Medunick, David M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861488736 | NPPES |
| New Jersey | MEDICAID | 0072788 |
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