Testa, Jack

Testa, Jack is an individual health care provider with primary practice located at 4808 Bergenline Ave Suite 202, Union City NJ 07087-5172. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Testa, Jack can be contacted via phone (201) 863-0036.

Contact Information

Primary practice address
4808 Bergenline Ave Suite 202 Union City NJ 07087-5172
Phone: (201) 863-0036
Fax: (201) 863-0727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X MD00160000 New Jersey

Profile Details

NPI number 1013985951
LBN Legal business name Testa, Jack
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 21st, 2010 - about 14 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 1013985951 NPPES
New Jersey MEDICAID 3354601
New Jersey Other 1013076256
New Jersey MEDICAID 4904303
New Jersey Other 1013985951

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