Notkin, Alicia R

Notkin, Alicia R is an individual health care provider with primary practice located at 246 Hamburg Tpke Ste 207, Wayne NJ 07470-2156. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Notkin, Alicia R can be contacted via phone (973) 653-3366.

Contact Information

Primary practice address
246 Hamburg Tpke Ste 207 Wayne NJ 07470-2156
Phone: (973) 653-3366
Fax: (973) 653-3365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA094574 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 242486 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 242486 New York

Profile Details

NPI number 1346428950
LBN Legal business name Notkin, Alicia R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Jan 23rd, 2015 - about 9 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 1346428950 NPPES
New Jersey Other 366153ACQ MEDICARE PTAN
New Jersey MEDICAID 0258270 MEDICARE PTAN

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