Mauro, Alfred L

Mauro, Alfred L is an sole proprietor health care provider with primary practice located at 590 Newark Ave , Jersey City NJ 07306. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Mauro, Alfred L can be contacted via phone (201) 222-1400.

Contact Information

Primary practice address
590 Newark Ave Jersey City NJ 07306
Phone: (201) 222-1400
Fax: (201) 342-1259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA02182900 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 25MA02182900 New Jersey
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA02182900 New Jersey

Profile Details

NPI number 1255374062
LBN Legal business name Mauro, Alfred L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Nov 26th, 2012 - about 13 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 1255374062 NPPES
New Jersey MEDICAID 0965308

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