Mir Madjlessi, Nima
Mir Madjlessi, Nima is an sole proprietor health care provider with primary practice located at E7 Brier Hill Ct , East Brunswick NJ 08816-3336. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Mir Madjlessi, Nima can be contacted via phone (732) 651-8470.Contact Information
Primary practice address
E7 Brier Hill Ct
East Brunswick NJ 08816-3336
Phone: (732) 651-8470
Fax: (732) 651-8033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 20508 | New Jersey |
Profile Details
| NPI number | 1659303329 |
|---|---|
| LBN Legal business name | Mir Madjlessi, Nima |
| Credentials | DDS,MSD,PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Feb 17th, 2012 - about 12 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 | 1659303329 | NPPES |
| New Jersey | MEDICAID | 1710151089 |
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