Moalem, Jacob
Moalem, Jacob is an individual health care provider with primary practice located at 601 Elmwood Ave Box Surg, Rochester NY 14642-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Moalem, Jacob can be contacted via phone (585) 275-1611.Contact Information
Primary practice address
601 Elmwood Ave Box Surg
Rochester NY 14642-0001
Phone: (585) 275-1611
Fax: (585) 273-1252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 250386 | New York |
Profile Details
| NPI number | 1003914987 |
|---|---|
| LBN Legal business name | Moalem, Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 6th, 2023 - about 3 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 | 1003914987 | NPPES |
| New York | MEDICAID | 030355527 |
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