Koleilat, Issam

Koleilat, Issam is an individual health care provider with primary practice located at 67 Route 37 W Ste 200B , Toms River NJ 08755-6400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Koleilat, Issam can be contacted via phone (732) 341-3647.

Contact Information

Primary practice address
67 Route 37 W Ste 200B Toms River NJ 08755-6400
Phone: (732) 341-3647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA09883400 New Jersey
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 279895 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA09883400 New Jersey

Profile Details

NPI number 1730340340
LBN Legal business name Koleilat, Issam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Apr 30th, 2024 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730340340 NPPES
Other 62732 AMC ID NUMBER

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