Balboul, Elsaid
Balboul, Elsaid is an sole proprietor health care provider with primary practice located at 508 Hamburg Tpke Suite 201, Wayne NJ 07470-8482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Balboul, Elsaid can be contacted via phone (973) 942-1340.Contact Information
Primary practice address
508 Hamburg Tpke Suite 201
Wayne NJ 07470-8482
Phone: (973) 942-1340
Fax: (973) 942-1360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA59362 | New Jersey |
Profile Details
| NPI number | 1467421339 |
|---|---|
| LBN Legal business name | Balboul, Elsaid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 23rd, 2008 - about 16 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 | 1467421339 | NPPES |
| New Jersey | MEDICAID | 9056301 |
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