Individual
DR. CARL RESTIVO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 WEBSTER AVE, JERSEY CITY, NJ 07307
(201) 798-2900
(201) 798-3582
Mailing address
3 WEBSTER AVE, JERSEY CITY, NJ 07307
(201) 798-2900
(201) 798-3582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03328700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44466385J
—
NJ
Enumeration date
12/27/2005
Last updated
08/11/2010
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