Bavli, Zlata G

Bavli, Zlata G is an individual health care provider with primary practice located at 1000 S Elmora Ave , Elizabeth NJ 07202-3100. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bavli, Zlata G can be contacted via phone (908) 436-0100.

Contact Information

Primary practice address
1000 S Elmora Ave Elizabeth NJ 07202-3100
Phone: (908) 436-0100
Fax: (908) 436-0295
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI19395 New Jersey

Profile Details

NPI number 1730178674
LBN Legal business name Bavli, Zlata G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 8th, 2007 - about 18 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 1730178674 NPPES
New Jersey Other 016622 DORAL
New Jersey MEDICAID 01597268 DORAL
New Jersey Other 1094696 DORAL
New Jersey MEDICAID 7277601 DORAL

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