Minano, Cecilia

Minano, Cecilia is an individual health care provider with primary practice located at 123 Highland Ave , Glen Ridge NJ 07028-1527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Minano, Cecilia can be contacted via phone (973) 429-8800.

Contact Information

Primary practice address
123 Highland Ave Glen Ridge NJ 07028-1527
Fax: (973) 748-7076
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 247086 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA09966700 New Jersey

Profile Details

NPI number 1841498714
LBN Legal business name Minano, Cecilia
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Oct 2nd, 2017 - about 8 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 1841498714 NPPES
New York MEDICAID 03406099

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