Wall, Alyssa Eileen
Wall, Alyssa Eileen is an sole proprietor health care provider with primary practice located at 55 N Gilbert St Ste 2101 , Tinton Falls NJ 07701-4957. She recently has 2 registered licenses in different health care specialties including Hospitals / Children, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Wall, Alyssa Eileen can be contacted via phone (732) 842-6677.Contact Information
Primary practice address
55 N Gilbert St Ste 2101
Tinton Falls NJ 07701-4957
Phone: (732) 842-6677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Children | 282NC2000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA10606100 | New Jersey |
Profile Details
| NPI number | 1235583279 |
|---|---|
| LBN Legal business name | Wall, Alyssa Eileen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2016 |
| Last updated | Nov 4th, 2019 - about 6 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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