Seguerra, Eliezer Montero
Seguerra, Eliezer Montero is an sole proprietor health care provider with primary practice located at 111 Central Ave St. Michael'S Medical Center, Newark NJ 07102-1909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Seguerra, Eliezer Montero can be contacted via phone (973) 877-5413.Contact Information
Primary practice address
111 Central Ave St. Michael'S Medical Center
Newark NJ 07102-1909
Phone: (973) 877-5413
Fax: (973) 877-2712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 25MA08227400 | New Jersey |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 240383-1 | New York |
Profile Details
| NPI number | 1316162621 |
|---|---|
| LBN Legal business name | Seguerra, Eliezer Montero |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Sep 19th, 2012 - about 12 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 | 1316162621 | NPPES |
| New Jersey | MEDICAID | 0143367 |
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