Perfecto Cortorreal, MSED
Individual provider Active NPI Specialist · Dumont, NJ
NPI 1821343799 · NPPES record last updated Jul 17, 2012
Key facts
- NPI
- 1821343799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 151 E Madison Ave
Dumont, NJ 07628-2535 - Phone
- (201) 244-5202
- Fax
- (201) 244-5202
- NPI assigned
- Jul 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
151 E Madison Ave
Dumont, NJ 07628-2535
Mailing address
151 E Madison Ave
Dumont, NJ 07628-2535
Phone (201) 244-5202
Other providers in Dumont, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.