Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MA41115 | NJ |
NPI | 1013987866 |
---|---|
Provider Name | Dr. Alvin Bell |
First Address | Montclair, NJ 07042-4021 |
Second Address | Montclair, NJ 07042-4021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 22/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D19085 | (02) | NJ |