Ciervo, Alfonso
Ciervo, Alfonso is an sole proprietor health care provider with primary practice located at 142 Highway 35 Suite 106A, Eatontown NJ 07724-3427. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ciervo, Alfonso can be contacted via phone (732) 380-1222.Contact Information
Primary practice address
142 Highway 35 Suite 106A
Eatontown NJ 07724-3427
Phone: (732) 380-1222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA06756800 | New Jersey |
Profile Details
| NPI number | 1457346918 |
|---|---|
| LBN Legal business name | Ciervo, Alfonso |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Sep 13th, 2007 - about 17 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 | 1457346918 | NPPES |
| New Jersey | MEDICAID | 0035378 | |
| New Jersey | Other | 2K7795 | |
| New Jersey | Other | 5337R1 | |
| New Jersey | Other | 2313631000 | |
| New Jersey | Other | 7790588 | |
| New Jersey | Other | 8221858 | |
| New Jersey | Other | 3732796 | |
| New Jersey | Other | 97662 | |
| New Jersey | Other | P00158098 |
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