Mallouhi, Samuel Issam

Mallouhi, Samuel Issam is an sole proprietor health care provider with primary practice located at 1031 Mcbride Ave Suite D205, Woodland Park NJ 07424-2559. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mallouhi, Samuel Issam can be contacted via phone (973) 237-9055.

Contact Information

Primary practice address
1031 Mcbride Ave Suite D205 Woodland Park NJ 07424-2559
Phone: (973) 237-9055
Fax: (973) 237-9053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MA61762 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA061762 New Jersey

Profile Details

NPI number 1659312098
LBN Legal business name Mallouhi, Samuel Issam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jul 1st, 2013 - about 11 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 1659312098 NPPES
New Jersey MEDICAID 7726201

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