Waller, Alfonso

Waller, Alfonso is an individual health care provider with primary practice located at 90 Bergen St Suite 3500, Newark NJ 07103-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Waller, Alfonso can be contacted via phone (973) 972-2573.

Contact Information

Primary practice address
90 Bergen St Suite 3500 Newark NJ 07103-2425
Phone: (973) 972-2573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA08557800 New Jersey

Profile Details

NPI number 1326219577
LBN Legal business name Waller, Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Apr 10th, 2024 - about 2 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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