Prestigiacomo, Cynthia R
Prestigiacomo, Cynthia R is an individual health care provider with primary practice located at 80 Bloomfield Avenue Second Floor, Caldwell NJ 07006-5342. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Prestigiacomo, Cynthia R can be contacted via phone (973) 618-9990.Contact Information
Primary practice address
80 Bloomfield Avenue Second Floor
Caldwell NJ 07006-5342
Phone: (973) 618-9990
Fax: (973) 618-9991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA06407700 | New Jersey |
Profile Details
| NPI number | 1730275207 |
|---|---|
| LBN Legal business name | Prestigiacomo, Cynthia R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Nov 5th, 2017 - about 8 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 | 1730275207 | NPPES |
| New Jersey | Other | J7679 | HORIZON MANAGED CARE |
| New Jersey | Other | 5932171 | HORIZON MANAGED CARE |
| New Jersey | Other | 1466998 | HORIZON MANAGED CARE |
| New Jersey | Other | 1K2417 | HORIZON MANAGED CARE |
| New Jersey | Other | 545631 | HORIZON MANAGED CARE |
| New Jersey | Other | P410290 | HORIZON MANAGED CARE |
| New Jersey | Other | 223685542 | HORIZON MANAGED CARE |
| New Jersey | Other | 413844 | HORIZON MANAGED CARE |
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