Politis, Regina

Politis, Regina is an individual health care provider with primary practice located at 3526 Kennedy Blvd , Jersey City NJ 07307-3448. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Politis, Regina can be contacted via phone (201) 653-5933.

Contact Information

Primary practice address
3526 Kennedy Blvd Jersey City NJ 07307-3448
Fax: (201) 653-3930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA67516 New Jersey

Profile Details

NPI number 1245224856
LBN Legal business name Politis, Regina
Credentials M.D., F.A.A.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 8th, 2007 - about 17 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 1245224856 NPPES
New Jersey MEDICAID 7979304

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