Individual
DR. JOSE ANTONIO ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
775 N BROAD ST APT A504, ELIZABETH, NJ 07208-2417
(786) 614-8927
Mailing address
775 N BROAD ST APT A504, ELIZABETH, NJ 07208-2417
(786) 614-8927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24955
FL
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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