Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | 25MD00157700 | NJ |
N | 213ES0000X | Sports Medicine | 25MD00157700 | NJ |
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00157700 | NJ |
NPI | 1033279138 |
---|---|
Provider Name | Dr. Robert A. Alworth |
First Address | Point Pleasant Boro, NJ 08742-2312 |
Second Address | Point Pleasant Boro, NJ 08742-2312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 19/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1923307 | (05) | NJ |
T45454 | (02) |