Vandevelde, Alexander G

Vandevelde, Alexander G is an individual health care provider with primary practice located at 385 Tremont Ave , East Orange NJ 07018-1023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Vandevelde, Alexander G can be contacted via phone (973) 676-1000.

Contact Information

Primary practice address
385 Tremont Ave East Orange NJ 07018-1023
Phone: (973) 676-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME13841 Florida

Profile Details

NPI number 1134173651
LBN Legal business name Vandevelde, Alexander G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134173651 NPPES
Florida MEDICAID 057944100
Florida MEDICAID 000105069E

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