Basralian, Kevin R

Basralian, Kevin R is an individual health care provider with primary practice located at 360 Essex St Suite 403, Hackensack NJ 07601-8550. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Basralian, Kevin R can be contacted via phone (551) 996-8090.

Contact Information

Primary practice address
360 Essex St Suite 403 Hackensack NJ 07601-8550
Phone: (551) 996-8090
Fax: (551) 996-8221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA04654700 New Jersey

Profile Details

NPI number 1851392252
LBN Legal business name Basralian, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851392252 NPPES
New Jersey Other 0457763 AETNA HMO ID #
New Jersey Other 80D693 AETNA HMO ID #
New Jersey Other 4239813 AETNA HMO ID #
New Jersey Other BS138 AETNA HMO ID #
New Jersey MEDICAID 1211200 AETNA HMO ID #
New Jersey Other 5S1641 AETNA HMO ID #
New Jersey Other 0103347000 AETNA HMO ID #
New Jersey Other 340001947 AETNA HMO ID #

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