Beniwal, Jagbir S
Beniwal, Jagbir S is an individual health care provider with primary practice located at 508 Hamburg Tpke Suite 205 Beniwal Md Llc, Wayne NJ 07470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Beniwal, Jagbir S can be contacted via phone (973) 956-0800.Contact Information
Primary practice address
508 Hamburg Tpke Suite 205 Beniwal Md Llc
Wayne NJ 07470
Phone: (973) 956-0800
Fax: (973) 956-1885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MA60489 | New Jersey |
Profile Details
| NPI number | 1134229172 |
|---|---|
| LBN Legal business name | Beniwal, Jagbir S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Oct 27th, 2016 - about 9 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 | 1134229172 | NPPES |
| New Jersey | MEDICAID | 6970508 | |
| New Jersey | Other | P430830 | |
| New Jersey | Other | 6970508 | |
| New Jersey | Other | J35036 | |
| New Jersey | Other | 0103538 | |
| New Jersey | Other | P00009802 | |
| New Jersey | Other | 1125433 | |
| New Jersey | Other | 3063025 | |
| New Jersey | Other | 91000121202 | |
| New Jersey | Other | H910001212 |
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