Individual
DR. ALVIN FRANCIS MICABALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
72 ROUTE 27, EDISON, NJ 08820-3986
(732) 662-9901
(732) 662-9904
Mailing address
72 ROUTE 27, EDISON, NJ 08820-3986
(732) 662-9901
(732) 662-9904
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
25MB08243000
NJ
207Q00000X
Family Medicine Physician
Primary
25MB08243000
NJ
Other
Enumeration date
04/11/2008
Last updated
09/11/2015
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