Reydel, Boris
Reydel, Boris is an individual health care provider with primary practice located at 6 Brighton Rd 2Nd Floor, Clifton NJ 07012-1647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Reydel, Boris can be contacted via phone (973) 777-7911.Contact Information
Primary practice address
6 Brighton Rd 2Nd Floor
Clifton NJ 07012-1647
Phone: (973) 777-7911
Fax: (973) 777-5403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 59089 | New Jersey |
Profile Details
| NPI number | 1457394124 |
|---|---|
| LBN Legal business name | Reydel, Boris |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jun 16th, 2011 - about 13 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 | 1457394124 | NPPES |
| New Jersey | MEDICAID | 6155405 |
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