Odatalla, Bassam N
Odatalla, Bassam N is an individual health care provider with primary practice located at 200 Fairfield Rd , Fairfield NJ 07004-2426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Odatalla, Bassam N can be contacted via phone (973) 487-1944.Contact Information
Primary practice address
200 Fairfield Rd
Fairfield NJ 07004-2426
Phone: (973) 487-1944
Fax: (973) 487-1945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 08610800 | New Jersey |
Profile Details
| NPI number | 1063620060 |
|---|---|
| LBN Legal business name | Odatalla, Bassam N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Aug 19th, 2015 - about 9 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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