Verdi, Michael Vincent

Verdi, Michael Vincent is an individual health care provider with primary practice located at 1500 Pleasant Valley Way Suite 204, West Orange NJ 07052-2956. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Verdi, Michael Vincent can be contacted via phone (973) 731-1266.

Contact Information

Primary practice address
1500 Pleasant Valley Way Suite 204 West Orange NJ 07052-2956
Phone: (973) 731-1266
Fax: (973) 731-1712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00228100 New Jersey

Profile Details

NPI number 1063559029
LBN Legal business name Verdi, Michael Vincent
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jun 21st, 2013 - 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 1063559029 NPPES
New Jersey MEDICAID 6582800

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