Individual
ALENA OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 WHITEHORSE HAMILTON SQUARE RD STE D1, HAMILTON SQUARE, NJ 08690-3540
(609) 890-2600
(609) 890-1016
Mailing address
1700 WHITEHORSE HAMILTON SQUARE RD STE D1, HAMILTON SQUARE, NJ 08690-3540
(609) 890-2600
(609) 890-1016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232664784
TAX ID
PA
Enumeration date
01/23/2008
Last updated
03/19/2018
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