Individual
DR. EDMONTZ ALECTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43 LIBERTY ST, WEST ORANGE, NJ 07052-5501
(862) 291-6468
Mailing address
43 LIBERTY STREET, WEST ORANGE, NJ 07052
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
26NP06961300
NJ
Other
Enumeration date
05/03/2020
Last updated
07/22/2020
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