Rundback, John
Rundback, John is an individual health care provider with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Rundback, John can be contacted via phone (201) 227-6210.Contact Information
Primary practice address
718 Teaneck Rd
Teaneck NJ 07666-4245
Phone: (201) 227-6210
Fax: (201) 643-3077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MA079791 | New Jersey |
Profile Details
| NPI number | 1255367280 |
|---|---|
| LBN Legal business name | Rundback, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jan 6th, 2011 - about 13 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 | 1255367280 | NPPES |
| New Jersey | MEDICAID | 6299806 |
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