Individual
MAROLO ALFARO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3453
(973) 382-2763
Mailing address
880 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3453
(973) 382-2763
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00289700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QB00289700
PTA LICENSE
NJ
Enumeration date
03/06/2023
Last updated
03/06/2023
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