Individual
DR. CARLOS ALFONSO SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
617 BROAD ST, NEWARK, NJ 07102-4403
(862) 246-7940
(862) 246-7941
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB09378700
NJ
207Q00000X
Family Medicine Physician
Primary
275285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02845370
—
NY
Enumeration date
05/16/2011
Last updated
07/18/2019
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