Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25MA07617900 | NJ |
N | 207K00000X | Allergist & Immunologist | MD073339L | PA |
NPI | 1013267285 |
---|---|
Provider Name | Dr. Carlos Alejandro Morales-Mateluna |
First Address | Miami, FL 33177-5539 |
Second Address | Linden, NJ 07036-4040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2012 |
Last Update Date | 11/03/2014 |