Malagold, Michael

Malagold, Michael is an individual health care provider with primary practice located at 415 Boulevard , Mountain Lakes NJ 07046-1723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Malagold, Michael can be contacted via phone (973) 334-7700.

Contact Information

Primary practice address
415 Boulevard Mountain Lakes NJ 07046-1723
Fax: (973) 402-5847
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA38598 New Jersey

Profile Details

NPI number 1710976857
LBN Legal business name Malagold, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 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 1710976857 NPPES
New Jersey MEDICAID 0701505

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