Koleilat, Issam
Koleilat, Issam is an individual health care provider with primary practice located at 67 Route 37 W Ste 200B , Toms River NJ 08755-6400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Koleilat, Issam can be contacted via phone (732) 341-3647.Contact Information
Primary practice address
67 Route 37 W Ste 200B
Toms River NJ 08755-6400
Phone: (732) 341-3647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA09883400 | New Jersey |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 279895 | New York |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25MA09883400 | New Jersey |
Profile Details
| NPI number | 1730340340 |
|---|---|
| LBN Legal business name | Koleilat, Issam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2008 |
| Last updated | Apr 30th, 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 | 1730340340 | NPPES |
| Other | 62732 | AMC ID NUMBER |
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