Individual
DR. ALFONSO CIERVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 HIGHWAY 35, SUITE 106A, EATONTOWN, NJ 07724-3427
(732) 380-1222
Mailing address
4 CRAPE MYRTLE DR, HOLMDEL, NJ 07733-1529
(732) 380-1222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06756800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035378
—
NJ
01
—
2313631000
AMERIHEALTH ID #
NJ
01
—
2K7795
HEALTHNET ID #
NJ
01
—
3732796
AETNA HMO ID #
NJ
01
—
5337R1
BCBS OF NY ID #
NJ
01
—
7790588
AETNA PPO ID #
NJ
01
—
8221858
GHI PPO ID #
NJ
01
—
97662
AMERICAID / AMERIGROUP #
NJ
01
—
P00158098
RAILROAD MEDICARE ID #
NJ
Enumeration date
09/12/2005
Last updated
09/13/2007
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