Molloy, Thomas J

Molloy, Thomas J is an individual health care provider with primary practice located at 31-00 Broadway , Fair Lawn NJ 07410-3963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Molloy, Thomas J can be contacted via phone (201) 796-2255.

Contact Information

Primary practice address
31-00 Broadway Fair Lawn NJ 07410-3963
Fax: (201) 796-7020
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA05901100 New Jersey

Profile Details

NPI number 1154488591
LBN Legal business name Molloy, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Oct 18th, 2017 - about 8 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 1154488591 NPPES
New Jersey MEDICAID 6225705
New Jersey Other 01176681

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