Individual
ALVIN MANUEL SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
741 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1174
(973) 325-1004
(973) 736-8964
Mailing address
85 S JEFFERSON ST, STE. 1, ORANGE, NJ 07050-1562
(973) 677-3466
(973) 677-2362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03805500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1283006
—
NJ
01
—
1K9717
HEALTHNET
NJ
01
—
AS057A3610
BCBS
NY
Enumeration date
08/24/2006
Last updated
11/27/2007
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