Mravcak, Sally A.

Mravcak, Sally A. is an individual health care provider with primary practice located at 127 Montgomery St , Jersey City NJ 07302-3616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mravcak, Sally A. can be contacted via phone (201) 431-7200.

Contact Information

Primary practice address
127 Montgomery St Jersey City NJ 07302-3616
Fax: (833) 488-1215
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA07499300 New Jersey

Profile Details

NPI number 1811009657
LBN Legal business name Mravcak, Sally A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 8th, 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 1811009657 NPPES
New Jersey MEDICAID 0078581

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