Active NPIIndividual provider

Dr. Alicia R Dermer, MD

Family Medicine in Freehold, New Jersey

NPI Number1316058852
Practice location
1001 W Main St, Suite B, Freehold, NJ 07728-2579
Fax
732-294-9328
Last updated
May 9, 2011

Alicia Raquel Dermer is a Family Medicine based in Freehold, NJ. Alicia Raquel Dermer practices in Freehold, NJ and has the professional credentials of MD. The NPI Number for Alicia Raquel Dermer is 1316058852 and holds a License No. MA40118 (NJ). The current practice location address for Alicia Raquel Dermer is 1001 W Main St, Suite B, Freehold, NJ 07728-2579 and can be reached out via phone at 732-294-2540 and via fax at 732-294-9328.

Provider Profile Details

NPI Number
1316058852
Provider Name
Alicia Raquel Dermer
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1001 W Main St, Suite B, Freehold, NJ 07728-2579
Phone Number
732-294-2540
Fax Number
732-294-9328
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2006
Last Update Date
May 9, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1001 W Main St
Suite B
Freehold, NJ 07728-2579
Zip
07728-2579
Phone Number
732-294-2540
Fax Number
732-294-9328
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
1001 W Main St
Suite B
Freehold, NJ 07728-2579
City
Freehold
State
NJ
Zip
07728-2579
Phone Number
732-294-2540
Fax Number
732-294-9328

License Information

License Number
MA40118
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alicia R Dermer, MD?

The NPI number of Dr. Alicia R Dermer, MD is 1316058852. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Alicia R Dermer, MD?

Dr. Alicia R Dermer, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number MA40118.

Where does Dr. Alicia R Dermer, MD practice?

The practice location is 1001 W Main St, Suite B, Freehold, NJ 07728-2579. The office can be reached at 732-294-2540 (phone) or 732-294-9328 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316058852 directly on the NPPES registry website.

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