Polt, Terry J

Polt, Terry J is an individual health care provider with primary practice located at 61 Frontage Rd , Hampton NJ 08827-4001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Polt, Terry J can be contacted via phone (908) 735-2594.

Contact Information

Primary practice address
61 Frontage Rd Hampton NJ 08827-4001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA06995200 New Jersey

Profile Details

NPI number 1942274949
LBN Legal business name Polt, Terry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
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 1942274949 NPPES
New Jersey MEDICAID 8748501

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