Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1497191845 |
---|---|
Provider Name | Marta Alfano |
First Address | Hawthorne, NJ 07506-2424 |
Second Address | Hawthorne, NJ 07506-2424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 13/05/2013 |