Pruden, James

Pruden, James is an individual health care provider with primary practice located at 703 Main St Er Dept, Paterson NJ 07503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Pruden, James can be contacted via phone (973) 754-2000.

Contact Information

Primary practice address
703 Main St Er Dept Paterson NJ 07503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MA040731 New Jersey

Profile Details

NPI number 1689680878
LBN Legal business name Pruden, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Nov 3rd, 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 1689680878 NPPES
New Jersey MEDICAID 8778001

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