Khalid, Mazin

Khalid, Mazin is an sole proprietor health care provider with primary practice located at 946 Bloomfield Ave , Glen Ridge NJ 07028-1308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Khalid, Mazin can be contacted via phone (973) 743-1121.

Contact Information

Primary practice address
946 Bloomfield Ave Glen Ridge NJ 07028-1308
Phone: (973) 743-1121
Fax: (973) 743-2627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 25MA11825100 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA11825100 New Jersey

Profile Details

NPI number 1083020812
LBN Legal business name Khalid, Mazin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2014
Last updated Mar 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083020812 NPPES
New Jersey MEDICAID 0921211

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