Fuzaylov, Eduard

Fuzaylov, Eduard is an sole proprietor health care provider with primary practice located at 223 Taylors Mills Road , Manalapan NJ 07726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fuzaylov, Eduard can be contacted via phone (732) 851-6673.

Contact Information

Primary practice address
223 Taylors Mills Road Manalapan NJ 07726
Phone: (732) 851-6673
Fax: (732) 851-6674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2458951 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 245895 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08308000 New Jersey

Profile Details

NPI number 1891974507
LBN Legal business name Fuzaylov, Eduard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2007
Last updated Mar 26th, 2024 - about 6 months 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 1891974507 NPPES
New York MEDICAID 02978834
New York MEDICAID 0244899

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