Individual
DR. ALICIA PROWSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 DEGRAW AVE, TEANECK, NJ 07666-4000
(201) 928-0200
(201) 928-0820
Mailing address
1 DEGRAW AVE, TEANECK, NJ 07666-4000
(201) 928-0200
(201) 928-0820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA76037
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA76037
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6818706
—
NJ
Enumeration date
10/19/2006
Last updated
07/31/2014
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