Individual
RODOLFO ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4810 BELMAR BLVD, SUITE 102, NEPTUNE, NJ 07753-6952
(732) 774-3880
(732) 545-0465
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00048400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01253234
RR MEDICARE
—
Enumeration date
06/05/2006
Last updated
11/13/2024
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