Delgra, Alexander B

Delgra, Alexander B is an sole proprietor health care provider with primary practice located at 495 N 13Th St , Newark NJ 07107-1317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Delgra, Alexander B can be contacted via phone (973) 268-1400.

Contact Information

Primary practice address
495 N 13Th St Newark NJ 07107-1317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06555900 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA06555900 New Jersey

Profile Details

NPI number 1154313526
LBN Legal business name Delgra, Alexander B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated Feb 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154313526 NPPES
New Jersey MEDICAID 7767706

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