Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 25MA06623700 | NJ |
NPI | 1215023924 |
---|---|
Provider Name | Melih Sarigul |
First Address | Clifton, NJ 07011-2223 |
Second Address | Clifton, NJ 07011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 08/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
19114 | UNIVERSITY HEALTH PLANS, INC (01) | NJ |
7608403 | (05) | NJ |