Young, Michael Anthony
Young, Michael Anthony is an individual health care provider with primary practice located at 1 Bay Ave , Montclair NJ 07042-4837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Young, Michael Anthony can be contacted via phone (973) 429-6991.Contact Information
Primary practice address
1 Bay Ave
Montclair NJ 07042-4837
Phone: (973) 429-6991
Fax: (845) 357-5777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA08686100 | New Jersey |
Profile Details
| NPI number | 1750587713 |
|---|---|
| LBN Legal business name | Young, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Aug 21st, 2012 - about 12 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 | 1750587713 | NPPES |
| New Jersey | MEDICAID | 0273821 | |
| New Jersey | Other | P01043631 |
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