Individual
ALFRED TALLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 GEORGE ST, FAMILY MEDICINE AT MONUMENT SQUARE, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8993
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04058600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1239601
—
NJ
Enumeration date
11/01/2006
Last updated
03/24/2010
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