Tonnessen, Glen Erik

Tonnessen, Glen Erik is an individual health care provider with primary practice located at 1100 Wescott Drive Suite G 3, Flemington NJ 08822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tonnessen, Glen Erik can be contacted via phone (908) 788-1710.

Contact Information

Primary practice address
1100 Wescott Drive Suite G 3 Flemington NJ 08822
Fax: (908) 788-1716
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA055129 New Jersey

Profile Details

NPI number 1154387389
LBN Legal business name Tonnessen, Glen Erik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated May 25th, 2017 - about 7 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 1154387389 NPPES
New Jersey MEDICAID 5H53003

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