Pablo, Bryan Alcides
Pablo, Bryan Alcides is an individual health care provider with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pablo, Bryan Alcides can be contacted via phone (201) 968-1800.Contact Information
Primary practice address
718 Teaneck Rd
Teaneck NJ 07666-4245
Phone: (201) 968-1800
Fax: (201) 968-1814
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MA09485200 | New Jersey |
Profile Details
NPI number | 1114203239 |
---|---|
LBN Legal business name | Pablo, Bryan Alcides |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2011 |
Last updated | Aug 19th, 2021 - about 4 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 | 1114203239 | NPPES |
New Jersey | MEDICAID | 0419443 |
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