# MUSTAFA SIDALI DO PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376785626
- **Authorized official:** DR. MUSTAFA M SIDALI DO (OWNER)
- **Authorized official phone:** (973) 759-4411

## Contact information

- **Practice address:** 380 UNION AVE, BELLEVILLE, NJ 07109-2122
- **Practice address phone:** (973) 759-4411
- **Mailing address:** 380 UNION AVE, BELLEVILLE, NJ 07109-2122
- **Mailing address phone:** (973) 759-4411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 08/12/2013