Poelstra, Beverly A
Poelstra, Beverly A is an individual health care provider with primary practice located at 1 Robert Wood Johnson Pl Robert Wood Johnson University Hospital - New Brunswick, New Brunswick NJ 08901-1928. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Poelstra, Beverly A can be contacted via phone (732) 235-7044.Contact Information
Primary practice address
1 Robert Wood Johnson Pl Robert Wood Johnson University Hospital - New Brunswick
New Brunswick NJ 08901-1928
Phone: (732) 235-7044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MA54090 | New Jersey |
Profile Details
| NPI number | 1659432672 |
|---|---|
| LBN Legal business name | Poelstra, Beverly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Apr 27th, 2010 - 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 | 1659432672 | NPPES |
| New Jersey | MEDICAID | 5567301 |
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