Dalloul, Mudar

Dalloul, Mudar is an individual health care provider with primary practice located at 450 Clarkson Ave Suite G, Brooklyn NY 11203-2056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dalloul, Mudar can be contacted via phone (718) 363-2908.

Contact Information

Primary practice address
450 Clarkson Ave Suite G Brooklyn NY 11203-2056
Phone: (718) 363-2908
Fax: (718) 270-4122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 227244-1 New York

Profile Details

NPI number 1053307348
LBN Legal business name Dalloul, Mudar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1053307348 NPPES
New York MEDICAID 02377071

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