Pingol, Carmelo

Pingol, Carmelo is an sole proprietor health care provider with primary practice located at 1160 Raymond Blvd , Newark NJ 07102-4199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pingol, Carmelo can be contacted via phone (973) 596-3857.

Contact Information

Primary practice address
1160 Raymond Blvd Newark NJ 07102-4199
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA06244900 New Jersey

Profile Details

NPI number 1437135738
LBN Legal business name Pingol, Carmelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Feb 22nd, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437135738 NPPES
New Jersey MEDICAID 6954201

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