Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | G133729 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD019626E | PA |
NPI | 1003829409 |
---|---|
Provider Name | Peter Alagona JR. |
First Address | Bakersfield, CA 93309-0404 |
Second Address | Bakersfield, CA 93309-0631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 04/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D56729 | (02) |