Mund, Michael L

Mund, Michael L is an sole proprietor health care provider with primary practice located at 1187 Main Ave Ste. 1F, Clifton NJ 07011-2252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mund, Michael L can be contacted via phone (973) 546-6161.

Contact Information

Primary practice address
1187 Main Ave Ste. 1F Clifton NJ 07011-2252
Fax: (973) 546-1708
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA02610200 New Jersey

Profile Details

NPI number 1457312449
LBN Legal business name Mund, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Jul 13th, 2007 - about 17 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 1457312449 NPPES
New Jersey MEDICAID 2906503

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