Porecha, Sunil

Porecha, Sunil is an individual health care provider with primary practice located at 279 Madison Ave , Perth Amboy NJ 08861-4313. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Porecha, Sunil can be contacted via phone (732) 442-2042.

Contact Information

Primary practice address
279 Madison Ave Perth Amboy NJ 08861-4313
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI01666200 New Jersey

Profile Details

NPI number 1497743769
LBN Legal business name Porecha, Sunil
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 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 1497743769 NPPES
New Jersey MEDICAID 3461301

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