Massabbal, Eltayeb Idris
Massabbal, Eltayeb Idris is an individual health care provider with primary practice located at 333 Irving Ave. , Bridgeton NJ 08302-2123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Massabbal, Eltayeb Idris can be contacted via phone (856) 451-6600.Contact Information
Primary practice address
333 Irving Ave.
Bridgeton NJ 08302-2123
Phone: (856) 451-6600
Fax: (302) 651-4945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD444793 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 25MA08089700 | New Jersey |
Profile Details
| NPI number | 1376656488 |
|---|---|
| LBN Legal business name | Massabbal, Eltayeb Idris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 27th, 2023 - about 2 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 | 1376656488 | NPPES |
| New Jersey | Other | D08906700 | CDS |
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