Ciervo, Alfonso

Ciervo, Alfonso is an sole proprietor health care provider with primary practice located at 142 Highway 35 Suite 106A, Eatontown NJ 07724-3427. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ciervo, Alfonso can be contacted via phone (732) 380-1222.

Contact Information

Primary practice address
142 Highway 35 Suite 106A Eatontown NJ 07724-3427
Phone: (732) 380-1222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA06756800 New Jersey

Profile Details

NPI number 1457346918
LBN Legal business name Ciervo, Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2005
Last updated Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457346918 NPPES
New Jersey MEDICAID 0035378
New Jersey Other 2K7795
New Jersey Other 5337R1
New Jersey Other 2313631000
New Jersey Other 7790588
New Jersey Other 8221858
New Jersey Other 3732796
New Jersey Other 97662
New Jersey Other P00158098

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