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Dr. Alfonso Ciervo, MD
Specialist in Eatontown, New Jersey
NPI 1457346918

Alfonso Ciervo is a Specialist based in Holmdel, NJ. Alfonso Ciervo practices in Eatontown, NJ and has the professional credentials of MD. The NPI Number for Alfonso Ciervo is 1457346918 and holds a License No. 25MA06756800 (New Jersey).

The current practice location address for Alfonso Ciervo is 142 Highway 35, Eatontown, NJ and can be reached out via phone at 732-380-1222.

Location: 142 Highway 35, Eatontown, NJ, 07733-1529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457346918
Provider Name
Alfonso Ciervo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
142 Highway 35, Eatontown, NJ, 07733-1529
Phone Number
732-380-1222
Fax Number
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0035378 05 NJ
2K7795 01 NJ HEALTHNET ID #
5337R1 01 NJ BCBS OF NY ID #
2313631000 01 NJ AMERIHEALTH ID #
7790588 01 NJ AETNA PPO ID #
8221858 01 NJ GHI PPO ID #
3732796 01 NJ AETNA HMO ID #
97662 01 NJ AMERICAID / AMERIGROUP #
P00158098 01 NJ RAILROAD MEDICARE ID #
institution
Provider Business Practice Location Address Details
Address
142 Highway 35
City
Eatontown
State
New Jersey
Zip
07724-3427
Phone Number
732-380-1222
Fax Number
person
Provider Business Mailing Address Details
Address
142 Highway 35
City
Eatontown
State
New Jersey
Zip
07724-3427
Phone Number
732-380-1222
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA06756800 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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