Wolodiger, Fred
Wolodiger, Fred is an individual health care provider with primary practice located at 375 Engle St , Englewood NJ 07631-1823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wolodiger, Fred can be contacted via phone (201) 894-0400.Contact Information
Primary practice address
375 Engle St
Englewood NJ 07631-1823
Phone: (201) 894-0400
Fax: (201) 894-1022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA04623100 | New Jersey |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25MA04623100 | New Jersey |
Profile Details
| NPI number | 1073511085 |
|---|---|
| LBN Legal business name | Wolodiger, Fred |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Apr 9th, 2009 - about 15 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 | 1073511085 | NPPES |
| New Jersey | Other | 330001882 | RAILROAD MEDICARE ID # |
| New Jersey | MEDICAID | 0486205 | RAILROAD MEDICARE ID # |
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