Individual
ALFRED JAMES DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
733 ROUTE 72 EAST, MANAHAWKIN, NJ 08050
(609) 489-0030
(609) 489-0031
Mailing address
733 ROUTE 72 EAST, MANAHAWKIN, NJ 08050
(609) 489-0030
(609) 489-0031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01993400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172197
—
NJ
Enumeration date
03/02/2007
Last updated
06/16/2015
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