Individual
DR. JOANN ALFONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
69 W MAIN ST, FREEHOLD, NJ 07728-2114
(732) 409-3633
(732) 409-7133
Mailing address
69 W MAIN ST, FREEHOLD, NJ 07728-2114
(732) 409-3633
(732) 409-7133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA06575700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9070508
—
NJ
Enumeration date
05/18/2006
Last updated
06/09/2016
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