Organization
ALFASIGMA USA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN WAGNER (CEO & PRESIDENT)
(318) 425-5751
Entity
Organization
Contact information
Practice address
2008 CLAIBORNE AVE, SHREVEPORT, LA 71103-4125
(318) 425-6135
Mailing address
550 HILLS DR STE 110B, BEDMINSTER, NJ 07921-1537
(908) 310-5786
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
09/05/2023
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