Mansour, Mervat B

Mansour, Mervat B is an sole proprietor health care provider with primary practice located at 2 Auer Ct Ste D , East Brunswick NJ 08816-5824. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Mansour, Mervat B can be contacted via phone (732) 257-5530.

Contact Information

Primary practice address
2 Auer Ct Ste D East Brunswick NJ 08816-5824
Phone: (732) 257-5530
Fax: (732) 257-5531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 220228 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA08176800 New Jersey

Profile Details

NPI number 1053319962
LBN Legal business name Mansour, Mervat B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Jul 31st, 2013 - about 13 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 1053319962 NPPES
New York MEDICAID 02139802

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