Alfonso, Carlos
Alfonso, Carlos is an individual health care provider with primary practice located at 946 Bloomfield Avenue , Glen Ridge NJ 07028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Alfonso, Carlos can be contacted via phone (973) 743-1121.Contact Information
Primary practice address
946 Bloomfield Avenue
Glen Ridge NJ 07028
Phone: (973) 743-1121
Fax: (973) 743-2627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MA06865300 | New Jersey |
Profile Details
| NPI number | 1801864061 |
|---|---|
| LBN Legal business name | Alfonso, Carlos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jun 24th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801864061 | NPPES |
| New Jersey | MEDICAID | MA06865300 |
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