Matin Mikayil Imanguli in New Brunswick - Plastic Surgery Within The Head & Neck
Matin Mikayil Imanguli - NPI 1114065406
Matin Mikayil Imanguli is a Plastic Surgery Within The Head & Neck in New Brunswick, New Jersey. Matin Mikayil Imanguli practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Matin Mikayil Imanguli is 1114065406. The last update date is 2020-01-31.
Matin Mikayil Imanguli's current location address is 125 Paterson St Ste 4100, New Brunswick, New Jersey. You can contact this provider via phone number 7322357757 and fax number 7322357095. The mailing address for Matin Mikayil Imanguli is 125 Paterson St Ste 4100, New Brunswick, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matin Mikayil Imanguli |
|---|---|
| Address | 125 Paterson St Ste 4100, New Brunswick, New Jersey |
| Phone Number | 7322357757 |
| Fax Number | 7322357095 |
| Sole Proprietor | Y |
| Credentials | MD, DDS |
NPI Number Detail
| NPI Number | 1114065406 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2020-01-31 |
Provider Mailing Address Detail
| Address | 125 Paterson St Ste 4100 |
|---|---|
| City | New Brunswick |
| State | New Jersey (NJ) |
| Post Code | 89011962 |
| Phone Number | 7322357757 |
| Fax Number | 7322357095 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 25MA10294300 |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 841629676 | VA | TAX IDENTIFICATION | |
| 113660124 | VA | TAX IDENTIFICATION | |
| 542034392 | VA | TAX IDENTIFICATION |
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What is the unique 10-digit identifier code issued to Matin Mikayil Imanguli by the Centers for Medicare & Medicaid Services?
The Matin Mikayil Imanguli has been assigned the NPI (National Provider Identifier) 1114065406 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Matin Mikayil Imanguli located?
The Matin Mikayil Imanguli is located at 125 Paterson St Ste 4100, New Brunswick, NJ 89011962.
What is Matin Mikayil Imanguli's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Matin Mikayil Imanguli is Plastic Surgery Within The Head & Neck, and the taxonomy classification code that categorizes this area of expertise is 207Yx0007X.
When did Matin Mikayil Imanguli receive its 1114065406 assignment?
The Matin Mikayil Imanguli was assigned its 1114065406 on 2007-02-01, which is the date when this unique identifier was issued to the organization.
When was the Matin Mikayil Imanguli's information last updated?
The Matin Mikayil Imanguli's information was last updated on 2020-01-31.