Reynoso, Edgardo V.
Reynoso, Edgardo V. is an individual health care provider with primary practice located at 308 Willow Ave Radiology Department, Hoboken NJ 07030-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Reynoso, Edgardo V. can be contacted via phone (201) 418-1820.Contact Information
Primary practice address
308 Willow Ave Radiology Department
Hoboken NJ 07030-3808
Phone: (201) 418-1820
Fax: (201) 418-1822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA02746300 | New Jersey |
Profile Details
| NPI number | 1083659494 |
|---|---|
| LBN Legal business name | Reynoso, Edgardo V. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Oct 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083659494 | NPPES |
| New Jersey | MEDICAID | 0576603 | |
| New Jersey | MEDICAID | 00498577 |
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