Provider Demographics
NPI:1215023924
Name:SARIGUL, MELIH (MD)
Entity Type:Individual
Prefix:
First Name:MELIH
Middle Name:
Last Name:SARIGUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2223
Mailing Address - Country:US
Mailing Address - Phone:973-249-8211
Mailing Address - Fax:973-249-8611
Practice Address - Street 1:296 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011
Practice Address - Country:US
Practice Address - Phone:973-249-8211
Practice Address - Fax:973-249-8611
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA066237002080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7608403Medicaid
NJ19114OtherUNIVERSITY HEALTH PLANS, INC