Dermer, Alicia Raquel
Dermer, Alicia Raquel is an individual health care provider with primary practice located at 1001 W Main St Suite B, Freehold NJ 07728-2579. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dermer, Alicia Raquel can be contacted via phone (732) 294-2540.Contact Information
Primary practice address
1001 W Main St Suite B
Freehold NJ 07728-2579
Phone: (732) 294-2540
Fax: (732) 294-9328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA40118 | New Jersey |
Profile Details
| NPI number | 1316058852 |
|---|---|
| LBN Legal business name | Dermer, Alicia Raquel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 9th, 2011 - about 13 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 | 1316058852 | NPPES |
| New Jersey | MEDICAID | 1226304 |
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