Mansour, Ali Gaber
Mansour, Ali Gaber is an sole proprietor health care provider with primary practice located at 84 Veronica Ave , Somerset NJ 08873-3529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mansour, Ali Gaber can be contacted via phone (732) 418-1111.Contact Information
Primary practice address
84 Veronica Ave
Somerset NJ 08873-3529
Phone: (732) 418-1111
Fax: (732) 418-1120
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA07554700 | New Jersey |
Profile Details
NPI number | 1346225885 |
---|---|
LBN Legal business name | Mansour, Ali Gaber |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 7th, 2005 |
Last updated | Dec 19th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346225885 | NPPES |
Other | 1484071 | AETNA | |
MEDICAID | 205729007 | AETNA | |
Other | 6464776 | AETNA |
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