Obando, David
Obando, David is an individual health care provider with primary practice located at 175 Madison Ave , Mount Holly NJ 08060-2038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Obando, David can be contacted via phone (609) 922-0116.Contact Information
Primary practice address
175 Madison Ave
Mount Holly NJ 08060-2038
Phone: (609) 922-0116
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD066740L | Pennsylvania |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 25MA06043400 | New Jersey |
Profile Details
NPI number | 1932109063 |
---|---|
LBN Legal business name | Obando, David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2005 |
Last updated | Feb 24th, 2022 - about 3 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 | 1932109063 | NPPES |
New Jersey | Other | 0809833000 | BLUE CROSS BLUE SHIELD |
New Jersey | MEDICAID | 7242603 | BLUE CROSS BLUE SHIELD |
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