Individual
DR. ALBERT ANDRE DENEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
143 E RIDGEWOOD AVE UNIT 539, RIDGEWOOD, NJ 07451-7026
(201) 251-9030
(201) 251-9032
Mailing address
143 E RIDGEWOOD AVE UNIT 539, RIDGEWOOD, NJ 07451-7026
(201) 251-9030
(201) 251-9032
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA04896500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6068006
—
NJ
01
—
707772
MEDICARE PTAN
NJ
Enumeration date
09/29/2006
Last updated
05/19/2015
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