Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME109017 | FL |
NPI | 1548294655 |
---|---|
Provider Name | Dr. Mary Alice Alfano-Torres |
First Address | Rosemont, IL 60018-4989 |
Second Address | Columbia, MD 21045-3263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 04/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D83148 | (02) | NY |