Individual
DR. ALEXANDER B DELGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
495 N 13TH ST, NEWARK, NJ 07107-1317
(973) 268-1400
Mailing address
66 WEST GILBERT STREET, RED BANK, NJ 07701-4918
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06555900
NJ
208D00000X
General Practice Physician
25MA06555900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7767706
—
NJ
Enumeration date
08/22/2005
Last updated
02/22/2008
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