Allam, Reddy B
Allam, Reddy B is an sole proprietor health care provider with primary practice located at 73 Park St , Montclair NJ 07042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Allam, Reddy B can be contacted via phone (973) 746-0595.Contact Information
Primary practice address
73 Park St
Montclair NJ 07042
Phone: (973) 746-0595
Fax: (973) 746-1848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06044500 | New Jersey |
Profile Details
| NPI number | 1437117827 |
|---|---|
| LBN Legal business name | Allam, Reddy B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | May 28th, 2014 - about 10 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 | 1437117827 | NPPES |
| New Jersey | MEDICAID | 6560504 |
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