Active NPIIndividual provider

Dr. Alexander Formolow, DPT

Physical Therapist in Willingboro, New Jersey

NPI Number1326115635
Practice location
220 Sunset RD, Suite 5A And B, Willingboro, NJ 08046-1126
Fax
—
Last updated
March 6, 2009

Alexander Formolow is a Physical Therapist based in Willingboro, NJ. Alexander Formolow practices in Willingboro, NJ and has the professional credentials of DPT. The NPI Number for Alexander Formolow is 1326115635 and holds a License No. 40QA01092200 (NJ). The current practice location address for Alexander Formolow is 220 Sunset RD, Suite 5A And B, Willingboro, NJ 08046-1126 and can be reached out via phone at 609-835-4801.

Provider Profile Details

NPI Number
1326115635
Provider Name
Alexander Formolow
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
220 Sunset RD, Suite 5A And B, Willingboro, NJ 08046-1126
Phone Number
609-835-4801
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 29, 2006
Last Update Date
March 6, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Sunset RD
Suite 5A And B
Willingboro, NJ 08046-1126
Zip
08046-1126
Phone Number
609-835-4801
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
703 Begonia CT
Jackson, NJ 08527-4176
City
Jackson
State
NJ
Zip
08527-4176
Phone Number
732-939-1360

License Information

License Number
40QA01092200
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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. Alexander Formolow, DPT?

The NPI number of Dr. Alexander Formolow, DPT is 1326115635. It was assigned on November 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexander Formolow, DPT?

Dr. Alexander Formolow, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01092200.

Where does Dr. Alexander Formolow, DPT practice?

The practice location is 220 Sunset RD, Suite 5A And B, Willingboro, NJ 08046-1126. The office can be reached at 609-835-4801 (phone).

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 1326115635 directly on the NPPES registry website.

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