Individual
MS. ALICIA R NOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
246 HAMBURG TPKE, STE 207, WAYNE, NJ 07470-2156
(973) 653-3366
(973) 653-3365
Mailing address
246 HAMBURG TPKE, STE 207, WAYNE, NJ 07470-2156
(973) 653-3366
(973) 653-3365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
242486
NY
207RN0300X
Nephrology Physician
242486
NY
207RN0300X
Nephrology Physician
Primary
MA094574
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258270
—
NJ
01
—
366153ACQ
MEDICARE PTAN
NJ
Enumeration date
02/06/2008
Last updated
01/23/2015
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