Allegra, Diane M
Allegra, Diane M is an individual health care provider with primary practice located at 1135 Broad St Suite 201, Clifton NJ 07013-3346. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Allegra, Diane M can be contacted via phone (973) 754-4100.Contact Information
Primary practice address
1135 Broad St Suite 201
Clifton NJ 07013-3346
Phone: (973) 754-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA03127100 | New Jersey |
Profile Details
| NPI number | 1003869702 |
|---|---|
| LBN Legal business name | Allegra, Diane M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003869702 | NPPES |
| New Jersey | MEDICAID | 3627403 |
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