Pertsovsky, Konstantin
Pertsovsky, Konstantin is an individual health care provider with primary practice located at 510 Hamburg Tpke Wayne Commons, Suite 101, Wayne NJ 07470-2025. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pertsovsky, Konstantin can be contacted via phone (973) 942-6005.Contact Information
Primary practice address
510 Hamburg Tpke Wayne Commons, Suite 101
Wayne NJ 07470-2025
Phone: (973) 942-6005
Fax: (973) 942-6009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB07552900 | New Jersey |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 214845 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 214845 | New York |
Profile Details
| NPI number | 1306876602 |
|---|---|
| LBN Legal business name | Pertsovsky, Konstantin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Nov 6th, 2014 - about 10 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 | 1306876602 | NPPES |
| New Jersey | MEDICAID | 0157376 |
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