Malkin, Kenneth Fred

Malkin, Kenneth Fred is an sole proprietor health care provider with primary practice located at 376 Bloomfield Ave , Caldwell NJ 07006-4905. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Malkin, Kenneth Fred can be contacted via phone (973) 226-2263.

Contact Information

Primary practice address
376 Bloomfield Ave Caldwell NJ 07006-4905
Phone: (973) 226-2263
Fax: (973) 228-2013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00155800 New Jersey

Profile Details

NPI number 1760475750
LBN Legal business name Malkin, Kenneth Fred
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 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 1760475750 NPPES
New Jersey Other 0823740001 DMERC
New Jersey MEDICAID 2101009 DMERC

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