Alfredo Mennonna, PA-C
Physician Assistant in Morristown, NJ. Individual provider (NPI-1).
NPI number1093200370
StatusActive
Last updated in NPPESJun 28, 2018
Details
- NPI
- 1093200370
- Entity type
- Individual (NPI-1)
- Name
- Alfredo Mennonna
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2018
- Last updated
- Jun 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00144800 | NJ | Yes |
Practice location
100 Madison Ave.Morristown, NJ 07960
Phone 973-971-5488 · Fax 973-290-7175
Mailing address
104 East Hanover Ave.Cedar Knolls, NJ 07927
Phone 973-605-8056 · Fax 973-605-8045
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All 81 Physician Assistant providers in Morristown · All 3,513 providers in Morristown
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