Corazon, Alexis

Corazon, Alexis is an sole proprietor health care provider with primary practice located at 355 Totowa Ave , Paterson NJ 07502-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Corazon, Alexis can be contacted via phone (973) 389-1300.

Contact Information

Primary practice address
355 Totowa Ave Paterson NJ 07502-2125
Phone: (973) 389-1300
Fax: (973) 389-0138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MA63961 New Jersey

Profile Details

NPI number 1770552614
LBN Legal business name Corazon, Alexis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Jan 23rd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770552614 NPPES
New Jersey MEDICAID 7232900

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