Individual
MILIODAIRE ALPHONSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
59 KOCH AVE, MORRIS PLAINS, NJ 07950-4400
(973) 538-1800
Mailing address
14 HEMINGWAY DR, LEDGEWOOD, NJ 07852-2322
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00697800
NJ
Other
Enumeration date
01/07/2017
Last updated
01/07/2017
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