Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 1651141 | NY |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MA43438 | NJ |
NPI | 1194759282 |
---|---|
Provider Name | Dr. Manuel Alvarez |
First Address | Hoboken, NJ 07030 |
Second Address | Hackensack, NJ 07601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 20/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C016139 | (02) |