Sotelo, Andre D

Sotelo, Andre D is an individual health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Sotelo, Andre D can be contacted via phone (551) 996-3500.

Contact Information

Primary practice address
30 Prospect Ave Hackensack NJ 07601-1915
Phone: (551) 996-3500
Fax: (551) 996-3298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 224759 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 25MA10770400 New Jersey
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 224759 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA10770400 New Jersey

Profile Details

NPI number 1982698577
LBN Legal business name Sotelo, Andre D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 11th, 2020 - about 4 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 1982698577 NPPES
New York MEDICAID 02570607

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