Kalevich, Serge Fredrick

Kalevich, Serge Fredrick is an individual health care provider with primary practice located at 1485 Union Valley Rd Suite D, West Milford NJ 07480-1336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kalevich, Serge Fredrick can be contacted via phone (973) 728-1880.

Contact Information

Primary practice address
1485 Union Valley Rd Suite D West Milford NJ 07480-1336
Fax: (973) 728-1559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA30720 New Jersey

Profile Details

NPI number 1538151329
LBN Legal business name Kalevich, Serge Fredrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538151329 NPPES
New Jersey MEDICAID 3054403

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