Lalla, Sanjay

Lalla, Sanjay is an sole proprietor health care provider with primary practice located at 383 Northfield Ave , West Orange NJ 07052-3024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Lalla, Sanjay can be contacted via phone (973) 324-9455.

Contact Information

Primary practice address
383 Northfield Ave West Orange NJ 07052-3024
Fax: (973) 324-9454
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MA58573 New Jersey

Profile Details

NPI number 1295797256
LBN Legal business name Lalla, Sanjay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Mar 3rd, 2008 - about 16 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 1295797256 NPPES
New Jersey MEDICAID 7222904

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