Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA04993100 | NJ |
N | 111NI0900X | Internist | 25MA04993100 | NJ |
N | 207RR0500X | Rheumatology | 25MA04993100 | NJ |
NPI | 1043355381 |
---|---|
Provider Name | Louise Ashley Albornoz |
First Address | Clifton, NJ 07012 |
Second Address | Clifton, NJ 07013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3397505 | (05) | NJ |
4092614 | AETNA (01) | |
492612 | AETNA (01) | |
6661543 | CIGNA (01) | |
C47489 | (02) | |
F03036 | HEALTH NET (01) | |
P466820 | OXFORD (01) |