Mikulski, Wanda Janina
Mikulski, Wanda Janina is an sole proprietor health care provider with primary practice located at 1310 Broad St , Bloomfield NJ 07003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mikulski, Wanda Janina can be contacted via phone (973) 338-5660.Contact Information
Primary practice address
1310 Broad St
Bloomfield NJ 07003
Phone: (973) 338-5660
Fax: (973) 338-0522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA035627 | Maryland |
Profile Details
| NPI number | 1962510727 |
|---|---|
| LBN Legal business name | Mikulski, Wanda Janina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Apr 17th, 2009 - about 17 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 | 1962510727 | NPPES |
| New Jersey | MEDICAID | 1097806 |
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