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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1457310724 NPPES
New Jersey Other 42D671 EMPIRE BLUE CROSS
New Jersey MEDICAID 2324105 EMPIRE BLUE CROSS

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