Individual
LOU W ALEXANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
60 EVERGREEN PL STE 400, EAST ORANGE, NJ 07018-2120
(973) 395-1550
Mailing address
68A NEWARK WAY, MAPLEWOOD, NJ 07040-3310
(305) 332-1403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00640200
NJ
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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