Zeidenberg, Eddy Basilla
Zeidenberg, Eddy Basilla is an sole proprietor health care provider with primary practice located at 71 Yates Road , Manalapan NJ 07726. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Zeidenberg, Eddy Basilla can be contacted via phone (732) 761-9896.Contact Information
Primary practice address
71 Yates Road
Manalapan NJ 07726
Phone: (732) 761-9896
Fax: (732) 761-9897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA02531500 | New Jersey |
Profile Details
| NPI number | 1255305801 |
|---|---|
| LBN Legal business name | Zeidenberg, Eddy Basilla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Mar 17th, 2009 - about 15 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 | 1255305801 | NPPES |
| Other | 221949331 | TAX ID |
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