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Individual

DR. AUGUSTINE YAO ALIFO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
Mailing address
312 N HIGHLAND AVE, PEARL RIVER, NY 10965-1005
(973) 268-1806

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA06628800
NJ
207P00000X
Emergency Medicine Physician
Primary
35.092137
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000579078
ANTHEM
OH
Enumeration date
07/20/2005
Last updated
04/19/2022
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