Tejeda, Carlos Alberto
Tejeda, Carlos Alberto is an individual health care provider with primary practice located at 916 Main Ave Suite 1-A, Passaic NJ 07055-8513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tejeda, Carlos Alberto can be contacted via phone (973) 773-0334.Contact Information
Primary practice address
916 Main Ave Suite 1-A
Passaic NJ 07055-8513
Phone: (973) 773-0334
Fax: (973) 773-0336
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 002214 | New York |
Profile Details
NPI number | 1851342703 |
---|---|
LBN Legal business name | Tejeda, Carlos Alberto |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Sep 8th, 2016 - about 9 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 | 1851342703 | NPPES |
New Jersey | MEDICAID | 0171719 | |
New Jersey | MEDICAID | 02624995 |
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