Solly, Maimouna
Solly, Maimouna is an individual health care provider with primary practice located at 3 Progress St Ste 100 , Edison NJ 08820-1180. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Solly, Maimouna can be contacted via phone (908) 757-9696.Contact Information
Primary practice address
3 Progress St Ste 100
Edison NJ 08820-1180
Phone: (908) 757-9696
Fax: (908) 757-9721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 25MP00519100 | New Jersey |
Profile Details
| NPI number | 1932602299 |
|---|---|
| LBN Legal business name | Solly, Maimouna |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2018 |
| Last updated | Aug 7th, 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 | 1932602299 | NPPES |
| New Jersey | MEDICAID | 0749460 | |
| New Jersey | Other | 14948929 |
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