Individual
ROBERT J ALONSO
Active
Individual
ROBERT J ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01028536A
IN
2084N0400X
Neurology Physician
Primary
01028536A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000333467
ANTHEM
—
05
—
100334090
—
IN
01
—
P00747951
RAILROAD MEDICARE PTAN
IN
Enumeration date
07/27/2006
Last updated
03/16/2025
Update your record
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