Individual
MR. ALVIN L MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
710 MILL ST, UNIT H3, BELLEVILLE, NJ 07109
(973) 759-1494
Mailing address
710 MILL ST, UNIT H3, BELLEVILLE, NJ 07109
(862) 371-9149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
019509
NY
225100000X
Physical Therapist
Primary
40QA01341200
NJ
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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