Mukalian, Gregory
Mukalian, Gregory is an individual health care provider with primary practice located at 1113 Hospital Dr Suite 304, Willingboro NJ 08046-1103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mukalian, Gregory can be contacted via phone (609) 835-5821.Contact Information
Primary practice address
1113 Hospital Dr Suite 304
Willingboro NJ 08046-1103
Phone: (609) 835-5821
Fax: (609) 835-5827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MB06369000 | New Jersey |
Profile Details
| NPI number | 1659372910 |
|---|---|
| LBN Legal business name | Mukalian, Gregory |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Oct 19th, 2020 - about 5 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 | 1659372910 | NPPES |
| New Jersey | MEDICAID | 7031904 |
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