Alfonso, Jorge A

Alfonso, Jorge A is an individual health care provider with primary practice located at 495 Station Ave , South Yarmouth MA 02664-1218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Alfonso, Jorge A can be contacted via phone (508) 778-4777.

Contact Information

Primary practice address
495 Station Ave South Yarmouth MA 02664-1218
Phone: (508) 778-4777
Fax: (508) 771-9555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223490 Massachusetts

Profile Details

NPI number 1013983402
LBN Legal business name Alfonso, Jorge A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jun 18th, 2019 - about 7 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 1013983402 NPPES
Other 470367 TUFTS
Other J28944 TUFTS
Other AA80003 TUFTS
Other 491568 TUFTS
Other 3989691 TUFTS

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