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Contact Information

JACK E EBANI, MD
1820 CORLIES AVENUE
NEPTUNE CITY, NJ07753
 Phone: 732-774-4551
 Fax: 732-774-8933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JACK E EBANI · (Male)

NPI # 1962563932
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2006
Last updated 03/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA04538800
  • NJ Medicaid 5043603
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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