Segovia, Fernando

Segovia, Fernando is an individual health care provider with primary practice located at 103 River Rd , Edgewater NJ 07020-1010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Segovia, Fernando can be contacted via phone (201) 941-8100.

Contact Information

Primary practice address
103 River Rd Edgewater NJ 07020-1010
Fax: (201) 941-2899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA05963600 New Jersey

Profile Details

NPI number 1073518411
LBN Legal business name Segovia, Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 15th, 2008 - 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 1073518411 NPPES
New Jersey Other 0074887000 AMERIHEALTH GROUP #
New Jersey MEDICAID 6389805 AMERIHEALTH GROUP #
New Jersey Other BS451 AMERIHEALTH GROUP #
New Jersey Other 6004266 AMERIHEALTH GROUP #
New Jersey Other 0K6795 AMERIHEALTH GROUP #
New Jersey Other 13X871 AMERIHEALTH GROUP #
New Jersey Other 4397773 AMERIHEALTH GROUP #
New Jersey Other 579098 AMERIHEALTH GROUP #
New Jersey MEDICAID 1395880 AMERIHEALTH GROUP #

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