Individual
ALFRED L MAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 NEWARK AVE, JERSEY CITY, NJ 07306
(201) 222-1400
(201) 342-1259
Mailing address
PO BOX 135, ORADELL, NJ 07649
(201) 342-1205
(201) 342-1259
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA02182900
NJ
207L00000X
Anesthesiology Physician
25MA02182900
NJ
208VP0000X
Pain Medicine Physician
Primary
25MA02182900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965308
—
NJ
Enumeration date
06/13/2006
Last updated
11/26/2012
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