Individual
MR. ALEX ALFREDO DURANALVARADO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
300 CENTERTON RD, MOORESTOWN, NJ 08057-3825
(856) 722-6170
Mailing address
1045 TURNERVILLE RD, PINE HILL, NJ 08021-6553
(856) 722-6170
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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