Montezon, Lourdes Lloren
Montezon, Lourdes Lloren is an individual health care provider with primary practice located at 492 Route 57 W Fx Anidome Ctr, Washington NJ 07882-4338. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Montezon, Lourdes Lloren can be contacted via phone (908) 689-1000.Contact Information
Primary practice address
492 Route 57 W Fx Anidome Ctr
Washington NJ 07882-4338
Phone: (908) 689-1000
Fax: (908) 689-4529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MA50837 | New Jersey |
Profile Details
| NPI number | 1083699128 |
|---|---|
| LBN Legal business name | Montezon, Lourdes Lloren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Feb 5th, 2008 - about 16 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 | 1083699128 | NPPES |
| New Jersey | Other | 598425C2F | MEDICARE BILLING NO |
| New Jersey | MEDICAID | 3735800 | MEDICARE BILLING NO |
| New Jersey | Other | 2320853000 | MEDICARE BILLING NO |
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