Tiefenbrun, Malkah Doba

Tiefenbrun, Malkah Doba is an individual health care provider with primary practice located at 530 Riverside Dr , Elizabeth NJ 07208-2117. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Tiefenbrun, Malkah Doba can be contacted via phone (718) 839-5592.

Contact Information

Primary practice address
530 Riverside Dr Elizabeth NJ 07208-2117
Phone: (718) 839-5592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ01239100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F348843-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ01239100 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 26NR19215300 New Jersey

Profile Details

NPI number 1275293268
LBN Legal business name Tiefenbrun, Malkah Doba
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2021
Last updated Jun 9th, 2023 - about last year

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 1275293268 NPPES
New Jersey MEDICAID 0827924

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