Otsuka, Elaine Sumire

Otsuka, Elaine Sumire is an individual health care provider with primary practice located at 1617 Parker Avenue , Fort Lee NJ 07024. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Otsuka, Elaine Sumire can be contacted via phone (201) 461-0130.

Contact Information

Primary practice address
1617 Parker Avenue Fort Lee NJ 07024
Phone: (201) 461-0130
Fax: (201) 461-8525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI01513200 New Jersey

Profile Details

NPI number 1619194180
LBN Legal business name Otsuka, Elaine Sumire
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 17 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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