Gardilla, Kalyani I

Gardilla, Kalyani I is an individual health care provider with primary practice located at 4 Hartford Dr , Tinton Falls NJ 07701-4929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gardilla, Kalyani I can be contacted via phone (732) 741-3600.

Contact Information

Primary practice address
4 Hartford Dr Tinton Falls NJ 07701-4929
Fax: (732) 741-6079
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07439400 New Jersey

Profile Details

NPI number 1831196278
LBN Legal business name Gardilla, Kalyani I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 16th, 2007 - about 18 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 1831196278 NPPES
New Jersey MEDICAID 9122702

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