Fadil, Tina M

Fadil, Tina M is an individual health care provider with primary practice located at 24 Elm St , Harrington Park NJ 07640-1902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fadil, Tina M can be contacted via phone (201) 784-0123.

Contact Information

Primary practice address
24 Elm St Harrington Park NJ 07640-1902
Fax: (201) 784-0065
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA50418 New Jersey

Profile Details

NPI number 1932101516
LBN Legal business name Fadil, Tina M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated May 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932101516 NPPES
New Jersey Other P00422883 RAILROAD MEDICARE #

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