Doctor Name: | DR. ALVARO TELLEZ |
NPI Number: | 1265518278 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MAO2310000 |
Business Practice Address: | 466 Park Ave Paterson, NJ - 075041806 |
Business Phone Number: | 9733451414 |
Business Fax Number: | |
Mailing Address: | 466 Park Ave, PATERSON |
State: | NJ |
Postal Code: | 075041806 |
Phone Number: | 9733451414 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 10/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 25MAO2310000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |