Organization Name: | ALPINE MEDICAL GROUP LLC |
NPI Number: | 1023411311 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMER K SYED (PRESIDENT) |
Mailing Address: | 634 Summit Ave Jersey City |
State: | NJ US |
Postal Code: | 073063705 |
Phone Number: | 2012229370 |
Fax Number: | 2012229392 |
NPI Enumeration Date: | 10/01/2014 |
NPI Last Update Date: | 12/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |