Moalem, Jacob

Moalem, Jacob is an individual health care provider with primary practice located at 601 Elmwood Ave Box Surg, Rochester NY 14642-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Moalem, Jacob can be contacted via phone (585) 275-1611.

Contact Information

Primary practice address
601 Elmwood Ave Box Surg Rochester NY 14642-0001
Phone: (585) 275-1611
Fax: (585) 273-1252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 250386 New York

Profile Details

NPI number 1003914987
LBN Legal business name Moalem, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 6th, 2023 - about last year

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 1003914987 NPPES
New York MEDICAID 030355527

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