Secoy, John Walton

Secoy, John Walton is an individual health care provider with primary practice located at 185 Fairfield Ave 2A, West Caldwell NJ 07006-6426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Secoy, John Walton can be contacted via phone (973) 226-1230.

Contact Information

Primary practice address
185 Fairfield Ave 2A West Caldwell NJ 07006-6426
Phone: (973) 226-1230
Fax: (973) 226-1232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA05646400 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MA56464 New Jersey

Profile Details

NPI number 1023093564
LBN Legal business name Secoy, John Walton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Mar 14th, 2013 - about 11 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 1023093564 NPPES
New Jersey MEDICAID 5070309

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