Suldan, Dora Iankelevna

Suldan, Dora Iankelevna is an individual health care provider with primary practice located at 870 Palisade Ave Suite 201, Teaneck NJ 07666-3419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Suldan, Dora Iankelevna can be contacted via phone (201) 692-1661.

Contact Information

Primary practice address
870 Palisade Ave Suite 201 Teaneck NJ 07666-3419
Phone: (201) 692-1661
Fax: (201) 692-9219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA61030 New Jersey

Profile Details

NPI number 1831137918
LBN Legal business name Suldan, Dora Iankelevna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 18th, 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 1831137918 NPPES
New Jersey MEDICAID 6288804

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