Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist | 44SL05887300 | NJ |
NPI | 1770967556 |
---|---|
Provider Name | Mr. Alvin Joseph Mccarthy |
First Address | Mahwah, NJ 07430-2967 |
Second Address | Boonton, NJ 07005-8705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2015 |
Last Update Date | 12/07/2015 |