Diarbakerli, Fares
Diarbakerli, Fares is an sole proprietor health care provider with primary practice located at 716 Broad St , Clifton NJ 07013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Diarbakerli, Fares can be contacted via phone (973) 221-3122.Contact Information
Primary practice address
716 Broad St
Clifton NJ 07013
Phone: (973) 221-3122
Fax: (973) 710-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MA08580900 | New Jersey |
Profile Details
| NPI number | 1508011602 |
|---|---|
| LBN Legal business name | Diarbakerli, Fares |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2008 |
| Last updated | Apr 11th, 2012 - about 14 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 | 1508011602 | NPPES |
| New Jersey | Other | 01303042 | AMERIGROUP MEDICAID HMO |
| New Jersey | MEDICAID | 0202932 | AMERIGROUP MEDICAID HMO |
| New Jersey | Other | 010048411800 | AMERIGROUP MEDICAID HMO |
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