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Individual

ALEXIS DALLARA-MARSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 E RIDGEWOOD AVE, SUITE 208, RIDGEWOOD, NJ 07450-3957
(201) 444-0868
Mailing address
1200 E RIDGEWOOD AVE, SUITE 208, RIDGEWOOD, NJ 07450-3957

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA09807700
NJ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
261693
NY

Other

Enumeration date
04/27/2011
Last updated
04/26/2017
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