Sagullo, Nestor

Sagullo, Nestor is an individual health care provider with primary practice located at 679 Montgomery St , Jersey City NJ 07306-3324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sagullo, Nestor can be contacted via phone (201) 433-6500.

Contact Information

Primary practice address
679 Montgomery St Jersey City NJ 07306-3324
Phone: (201) 433-6500
Fax: (201) 433-8010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA02668100 New Jersey

Profile Details

NPI number 1306898473
LBN Legal business name Sagullo, Nestor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 4th, 2008 - about 16 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 1306898473 NPPES
New Jersey MEDICAID 8719004

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