Individual
ALEX OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 ELM ST, NEWARK, NJ 07105-2604
(862) 348-9515
Mailing address
280 ELM ST, NEWARK, NJ 07105-2604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02064400
NJ
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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