Malat, Glenn Jay

Malat, Glenn Jay is an individual health care provider with primary practice located at 775 Bloomfield Ave , West Caldwell NJ 07006-6701. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Malat, Glenn Jay can be contacted via phone (973) 226-3031.

Contact Information

Primary practice address
775 Bloomfield Ave West Caldwell NJ 07006-6701
Phone: (973) 226-3031
Fax: (973) 226-3033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 270A00530101 New Jersey

Profile Details

NPI number 1386630150
LBN Legal business name Malat, Glenn Jay
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 8th, 2007 - about 19 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 1386630150 NPPES
New Jersey Other 480551 AETNA
New Jersey Other 2263858 AETNA
New Jersey Other P2664631 AETNA
New Jersey Other 2K4029 AETNA

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