Organization
LILLIAN ALT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN ALT MD (MEDICAL DIRECTOR)
(732) 320-1888
Entity
Organization
Contact information
Practice address
330 CHANGEBRIDGE RD, PINE BROOK, NJ 07058-9839
(973) 830-9813
Mailing address
330 CHANGEBRIDGE RD, PINE BROOK, NJ 07058-9839
(973) 830-9813
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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