Organization · NPI-2

Alpha Health Associates LLC

Internal Medicine · West Orange, NJ

NPI number1104058460
StatusActive
Last updated in NPPESSep 4, 2014

Details

NPI
1104058460
Entity type
Organization (NPI-2)
Legal business name
Alpha Health Associates LLC
Organization subpart
No
Enumeration date
Aug 19, 2009
Last updated
Sep 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

449 Mt. Pleasant Avenue
West Orange, NJ 07052

Phone 973-731-7868 · Fax 973-731-7907

Mailing address

449 Mt. Pleasant Avenue
West Orange, NJ 07052

Phone 973-731-7868 · Fax 973-731-7907

Authorized official

Sean Mclernon
Administrator
9737317931

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