Malalis, Carmelita Pingol
Malalis, Carmelita Pingol is an sole proprietor health care provider with primary practice located at 765 Kennedy Blvd. , Bayonne NJ 07002-2804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Malalis, Carmelita Pingol can be contacted via phone (201) 437-9471.Contact Information
Primary practice address
765 Kennedy Blvd.
Bayonne NJ 07002-2804
Phone: (201) 437-9471
Fax: (201) 437-1590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25MA03062500 | New Jersey |
Profile Details
| NPI number | 1598868523 |
|---|---|
| LBN Legal business name | Malalis, Carmelita Pingol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598868523 | NPPES |
| New Jersey | MEDICAID | 0932604 |
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