Mejia, Edgar Rafael

Mejia, Edgar Rafael is an sole proprietor health care provider with primary practice located at 760 Market St. , Paterson NJ 07513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mejia, Edgar Rafael can be contacted via phone (973) 523-8083.

Contact Information

Primary practice address
760 Market St. Paterson NJ 07513
Phone: (973) 523-8083
Fax: (973) 523-1133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA059882 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA05988200 New Jersey

Profile Details

NPI number 1780645374
LBN Legal business name Mejia, Edgar Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Nov 18th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780645374 NPPES
New Jersey MEDICAID 6257402

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