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Individual

DR. ALAN S FIERVERKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 LINCOLN AVE, CARBONDALE, PA 18407-2116
(570) 281-1004
Mailing address
66 W GILBERT ST, SUITE 100, TINTON FALLS, NJ 07701-4918
(732) 212-0060
(732) 212-0061

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD039971E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
529856
BLUE SHIELD
PA
01
816767
FIRST PRIORITY HEALTH
PA
Enumeration date
08/19/2005
Last updated
02/01/2008
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