Alexander Iofin Md | |
2517 Highway 35 Bldg H Suite 201 Valley Park Professional Center Manasquan NJ 08736-1918 | |
(732) 528-3232 | |
(732) 528-5495 |
Full Name | Alexander Iofin Md |
---|---|
Speciality | Psychiatry & Neurology |
Location | 2517 Highway 35, Manasquan, New Jersey |
Authorized Official Name and Position | Alexander Iofin (MD PSYCHIATRIST) |
Authorized Official Contact | 7325283232 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alexander Iofin Md 2517 Highway 35 Bldg H Suite 201 Valley Park Professional Center Manasquan NJ 08736-1918 Ph: (732) 528-3232 | Alexander Iofin Md 2517 Highway 35 Bldg H Suite 201 Valley Park Professional Center Manasquan NJ 08736-1918 Ph: (732) 528-3232 |
NPI Number | 1639241086 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 11/10/2008 |
Medicare PECOS PAC ID | 4880757251 |
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Medicare Enrollment ID | O20090112000126 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639241086 | NPI | - | NPPES |
8081409 | Medicaid | NJ | |
25MA066477 | Other | NJ | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MA066477 (New Jersey) | Primary |
Provider Name | Alexander Iofin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053565630 PECOS PAC ID: 9638232275 Enrollment ID: I20090108000469 |
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