Mallik, Dipak K
Mallik, Dipak K is an sole proprietor health care provider with primary practice located at 546 St Georges Ave , Rahway NJ 07065. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Mallik, Dipak K can be contacted via phone (732) 381-3642.Contact Information
Primary practice address
546 St Georges Ave
Rahway NJ 07065
Phone: (732) 381-3642
Fax: (732) 396-4463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | MA29179 | New Jersey |
Profile Details
| NPI number | 1427139997 |
|---|---|
| LBN Legal business name | Mallik, Dipak K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 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 | 1427139997 | NPPES |
| New Jersey | MEDICAID | 2503000 |
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