Pardes, Jorge Gustavo
Pardes, Jorge Gustavo is an individual health care provider with primary practice located at 300 2Nd Ave , Long Branch NJ 07740-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pardes, Jorge Gustavo can be contacted via phone (732) 923-7700.Contact Information
Primary practice address
300 2Nd Ave
Long Branch NJ 07740-6303
Phone: (732) 923-7700
Fax: (732) 923-7710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD049953L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA08326800 | New Jersey |
Profile Details
| NPI number | 1457349011 |
|---|---|
| LBN Legal business name | Pardes, Jorge Gustavo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Oct 14th, 2011 - about 14 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 | 1457349011 | NPPES |
| Pennsylvania | MEDICAID | 0844459 | |
| Pennsylvania | Other | 483261 | |
| Pennsylvania | MEDICAID | 0014226300005 | |
| Pennsylvania | MEDICAID | 0149420 |
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