Individual
DR. ALEXANDER G VANDEVELDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME13841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000105069E
—
GA
05
—
057944100
—
FL
Enumeration date
05/20/2006
Last updated
03/07/2011
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