Provider Demographics
NPI:1366421448
Name:DALAL, SIMA (DO)
Entity type:Individual
Prefix:DR
First Name:SIMA
Middle Name:
Last Name:DALAL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:950 EDGEWATER AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2439
Mailing Address - Country:US
Mailing Address - Phone:201-953-1469
Mailing Address - Fax:973-733-4328
Practice Address - Street 1:394 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1221
Practice Address - Country:US
Practice Address - Phone:973-733-5300
Practice Address - Fax:973-733-4328
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB07396100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine