Tartaglia, Marco

Tartaglia, Marco is an sole proprietor health care provider with primary practice located at 20 Watsessing Ave , Bloomfield NJ 07003-4613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tartaglia, Marco can be contacted via phone (973) 364-0888.

Contact Information

Primary practice address
20 Watsessing Ave Bloomfield NJ 07003-4613
Fax: (973) 364-0889
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA052009 New Jersey

Profile Details

NPI number 1093735516
LBN Legal business name Tartaglia, Marco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Mar 10th, 2014 - 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 1093735516 NPPES
New Jersey MEDICAID 5165514

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