Individual
MR. ALEX R PAVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
534 W 135TH ST, NEW YORK, NY 10031-8601
(212) 491-2300
(212) 491-2323
Mailing address
81 ERIE ST, DUMONT, NJ 07628-3403
(201) 384-6306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
199925-1
NY
207R00000X
Internal Medicine Physician
25MA07135200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078191
—
NJ
01
—
01000776801
AMERICHOICE
—
05
—
01663583
—
NY
01
—
3K3007
HEALTHNET
NJ
01
—
8224329
GHI
NJ
Enumeration date
07/08/2006
Last updated
12/30/2015
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