Festa, Alfredo G

Festa, Alfredo G is an individual health care provider with primary practice located at 4508 Kennedy Blvd , Union City NJ 07087-2707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Festa, Alfredo G can be contacted via phone (201) 864-3168.

Contact Information

Primary practice address
4508 Kennedy Blvd Union City NJ 07087-2707
Fax: (201) 864-4488
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 25MA03916500 New Jersey

Profile Details

NPI number 1013131861
LBN Legal business name Festa, Alfredo G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 18 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 1013131861 NPPES
New Jersey MEDICAID 3803503

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