Stitik, Todd P.

Stitik, Todd P. is an individual health care provider with primary practice located at 90 Bergen St Doc 3100, Newark NJ 07103-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Stitik, Todd P. can be contacted via phone (973) 972-2802.

Contact Information

Primary practice address
90 Bergen St Doc 3100 Newark NJ 07103-2425
Fax: (973) 972-2825
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 25MA05631100 New Jersey

Profile Details

NPI number 1356361349
LBN Legal business name Stitik, Todd P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 20th, 2009 - 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 1356361349 NPPES
New Jersey MEDICAID 6188303

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