Fishbein, Vitaly
Fishbein, Vitaly is an individual health care provider with primary practice located at 401 Pleasant Valley Way , West Orange NJ 07052-2935. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fishbein, Vitaly can be contacted via phone (973) 736-1112.Contact Information
Primary practice address
401 Pleasant Valley Way
West Orange NJ 07052-2935
Phone: (973) 736-1112
Fax: (973) 736-5590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA05902900 | New Jersey |
Profile Details
| NPI number | 1467410381 |
|---|---|
| LBN Legal business name | Fishbein, Vitaly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1467410381 | NPPES |
| New Jersey | MEDICAID | 6000908 |
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