Gadalla, Hisham H
Gadalla, Hisham H is an sole proprietor health care provider with primary practice located at 1135 Main Ave Fl 2 , Clifton NJ 07011-2353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gadalla, Hisham H can be contacted via phone (973) 928-3388.Contact Information
Primary practice address
1135 Main Ave Fl 2
Clifton NJ 07011-2353
Phone: (973) 928-3388
Fax: (973) 928-3388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA07589300 | New Jersey |
Profile Details
| NPI number | 1689666257 |
|---|---|
| LBN Legal business name | Gadalla, Hisham H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Dec 29th, 2023 - about last year |
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 | 1689666257 | NPPES |
| New Jersey | MEDICAID | 0008265 |
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