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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1770552614 | NPPES |
| New Jersey | MEDICAID | 7232900 |
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