Takla, Sarwat S

Takla, Sarwat S is an individual health care provider with primary practice located at 833 Lacey Road Suite 3, Forked River NJ 08731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Takla, Sarwat S can be contacted via phone (609) 693-5006.

Contact Information

Primary practice address
833 Lacey Road Suite 3 Forked River NJ 08731
Fax: (609) 693-5016
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06588900 New Jersey

Profile Details

NPI number 1316907983
LBN Legal business name Takla, Sarwat S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1316907983 NPPES
New Jersey MEDICAID 7402601

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