Itani, Mazen S.
Itani, Mazen S. is an sole proprietor health care provider with primary practice located at 183 Us Highway 206 Ste 2 , Flanders NJ 07836. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Itani, Mazen S. can be contacted via phone (973) 705-7202.Contact Information
Primary practice address
183 Us Highway 206 Ste 2
Flanders NJ 07836
Phone: (973) 705-7202
Fax: (973) 705-7262
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 25MA08075500 | New Jersey |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25MA08075500 | New Jersey |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA08075500 | New Jersey |
Profile Details
NPI number | 1770555930 |
---|---|
LBN Legal business name | Itani, Mazen S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 2nd, 2006 |
Last updated | Jan 19th, 2021 - about 3 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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