Individual
ALFRED A. LARDIZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 WARREN ST, 1ST FLOOR, NEWARK, NJ 07103-3535
(973) 972-6232
(973) 972-3832
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA06188100
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA06188100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6690602
—
NJ
Enumeration date
10/03/2006
Last updated
02/02/2022
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