Individual
DR. ALFONSE A DE MARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
807 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1372
(201) 891-5599
(201) 891-8404
Mailing address
15 BIRCHWOOD CT, UPPER SADDLE RIVER, NJ 07458-1905
(201) 236-1864
(201) 891-8404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC04071
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5301807
—
NJ
Enumeration date
12/09/2005
Last updated
11/03/2020
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