Sidali, Mustafa M
Sidali, Mustafa M is an sole proprietor health care provider with primary practice located at 55-59 Washington Avenue , Belleville NJ 07109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sidali, Mustafa M can be contacted via phone (973) 207-0640.Contact Information
Primary practice address
55-59 Washington Avenue
Belleville NJ 07109
Phone: (973) 207-0640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB06569500 | New Jersey |
Profile Details
| NPI number | 1811982762 |
|---|---|
| LBN Legal business name | Sidali, Mustafa M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jun 24th, 2014 - about 10 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 | 1811982762 | NPPES |
| New Jersey | MEDICAID | 7449500 |
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