Fuzaylov, Eduard
Fuzaylov, Eduard is an sole proprietor health care provider with primary practice located at 223 Taylors Mills Road , Manalapan NJ 07726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fuzaylov, Eduard can be contacted via phone (732) 851-6673.Contact Information
Primary practice address
223 Taylors Mills Road
Manalapan NJ 07726
Phone: (732) 851-6673
Fax: (732) 851-6674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2458951 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 245895 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA08308000 | New Jersey |
Profile Details
| NPI number | 1891974507 |
|---|---|
| LBN Legal business name | Fuzaylov, Eduard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 30th, 2007 |
| Last updated | Mar 26th, 2024 - about 2 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 | 1891974507 | NPPES |
| New York | MEDICAID | 02978834 | |
| New York | MEDICAID | 0244899 |
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