Individual
TONNY ALEJANDRO HUISACAYNA ALVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
1901 E LINDEN AVE, UNIT 22, LINDEN, NJ 07036
(908) 862-3121
(908) 862-0028
Mailing address
908 SHERIDAN AVE, ROSELLE, NJ 07203
(908) 884-8888
(908) 862-0028
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
45PD00001300
NJ
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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