Molitor, Jerome Anthony

Molitor, Jerome Anthony is an individual health care provider with primary practice located at 155 Crystal Run Rd , Middletown NY 10941-4028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Molitor, Jerome Anthony can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
155 Crystal Run Rd Middletown NY 10941-4028
Fax: (845) 703-2023
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MA41619 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 246993-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X MA41619 New Jersey

Profile Details

NPI number 1104845916
LBN Legal business name Molitor, Jerome Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 25th, 2015 - about 10 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 1104845916 NPPES
New Jersey MEDICAID 3694607

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