Villanueva, Thelma L
Villanueva, Thelma L is an individual health care provider with primary practice located at 525 Highway 70 , Brick NJ 08723. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Villanueva, Thelma L can be contacted via phone (732) 920-2424.Contact Information
Primary practice address
525 Highway 70
Brick NJ 08723
Phone: (732) 920-2424
Fax: (732) 920-1211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA02883300 | New Jersey |
Profile Details
| NPI number | 1912972241 |
|---|---|
| LBN Legal business name | Villanueva, Thelma L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1912972241 | NPPES |
| New Jersey | MEDICAID | 2524007 |
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