Mitev, Iliya D

Mitev, Iliya D is an individual health care provider with primary practice located at 61 Frontage Rd , Hampton NJ 08827-4001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitev, Iliya D can be contacted via phone (908) 735-2594.

Contact Information

Primary practice address
61 Frontage Rd Hampton NJ 08827-4001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA08265600 New Jersey

Profile Details

NPI number 1922299882
LBN Legal business name Mitev, Iliya D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Jul 28th, 2011 - about 13 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 1922299882 NPPES
New Jersey MEDICAID 0169943

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