Individual
IRAIDA ALVAREZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1320 ADAMS ST, HOBOKEN, NJ 07030-2370
(201) 308-6622
Mailing address
124 7TH AVE, PATERSON, NJ 07524-2633
(201) 515-0517
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
026673
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00644600
NJ
Other
Enumeration date
05/27/2021
Last updated
12/22/2023
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