Organization
CARL RESTIVO JR., M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL RESTIVO MD (PRESIDENT)
(201) 798-2900
Entity
Organization
Contact information
Practice address
3 WEBSTER AVE, JERSEY CITY, NJ 07307-1866
(201) 798-2900
(201) 798-3582
Mailing address
3 WEBSTER AVE, JERSEY CITY, NJ 07307-1866
(201) 798-2900
(201) 798-3582
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA03328700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245217751
NPI, PERSONAL
—
05
—
44466385J
—
NJ
Enumeration date
08/30/2010
Last updated
08/30/2010
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