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
Fax: (201) 968-1814
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114203239 NPPES
New Jersey MEDICAID 0419443

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