Pelletier, Mario Emilio
Pelletier, Mario Emilio is an sole proprietor health care provider with primary practice located at 6003 Monroe Pl Suite 1A, West New York NJ 07093-5463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Pelletier, Mario Emilio can be contacted via phone (201) 869-6868.Contact Information
Primary practice address
6003 Monroe Pl Suite 1A
West New York NJ 07093-5463
Phone: (201) 869-6868
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 42560 | New Jersey |
Profile Details
| NPI number | 1457310724 |
|---|---|
| LBN Legal business name | Pelletier, Mario Emilio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 18th, 2024 - about 8 months 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 | 1457310724 | NPPES |
| New Jersey | Other | 42D671 | EMPIRE BLUE CROSS |
| New Jersey | MEDICAID | 2324105 | EMPIRE BLUE CROSS |
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