Dr. Alisa Hope Wain
Periodontist
3100 Princeton Pike Bldg #4, Suite E
Lawrenceville
, New Jersey 08648-2300
Dr. Alisa Hope Wain
Periodontist
3100 Princeton Pike Bldg #4, Suite E
Lawrenceville
, New Jersey 08648-2300
(609) 903-6615
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Alisa Hope Wain
- Po Box 1494
- Princeton, NJ
- Zip : 08542-1494
- Phone : (609) 903-6615
Second Address
- Dr. Alisa Hope Wain
- 3100 Princeton Pike Bldg #4, Suite E
- Lawrenceville, NJ
- Zip : 08648-2300
- Phone : (609) 895-8844
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Is Dr. Alisa Hope Wain a sole practitioner?
Is Dr. Alisa Hope Wain accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 22D101847100 | NJ |
National Provider Identifier
| NPI | 1154454999 |
|---|---|
| Provider Name | Dr. Alisa Hope Wain |
| First Address | Princeton, NJ 08542-1494 |
| Second Address | Lawrenceville, NJ 08648-2300 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2007 |
| Last Update Date | 29/01/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.