Provider Demographics
NPI:1497480867
Name:MAQBOOL, BILAL (DDS)
Entity Type:Individual
Prefix:MR
First Name:BILAL
Middle Name:
Last Name:MAQBOOL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MAIN STREET ST. JOSEPH'S UNIVERSITY MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503
Mailing Address - Country:US
Mailing Address - Phone:973-754-2050
Mailing Address - Fax:973-754-2633
Practice Address - Street 1:703 MAIN STREET ST. JOSEPH'S UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503
Practice Address - Country:US
Practice Address - Phone:973-754-2050
Practice Address - Fax:973-754-2633
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2023-04-03
Deactivation Date:2023-03-16
Deactivation Code:
Reactivation Date:2023-04-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program