Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 40QA01747800 | NJ |
NPI | 1053837864 |
---|---|
Provider Name | Alina King |
First Address | Moorestown, NJ 08057-4602 |
Second Address | Sewell, NJ 08080-9406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2017 |
Last Update Date | 15/08/2017 |