Khalid, Mazin
Khalid, Mazin is an sole proprietor health care provider with primary practice located at 946 Bloomfield Ave , Glen Ridge NJ 07028-1308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Khalid, Mazin can be contacted via phone (973) 743-1121.Contact Information
Primary practice address
946 Bloomfield Ave
Glen Ridge NJ 07028-1308
Phone: (973) 743-1121
Fax: (973) 743-2627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 25MA11825100 | New Jersey |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA11825100 | New Jersey |
Profile Details
| NPI number | 1083020812 |
|---|---|
| LBN Legal business name | Khalid, Mazin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2014 |
| Last updated | Mar 19th, 2024 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083020812 | NPPES |
| New Jersey | MEDICAID | 0921211 |
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