Alisa Davidova, APN | |
55 Willow Ln Ste 201, Englishtown, NJ 07726-8434 | |
(732) 370-2220 | |
Not Available |
Full Name | Alisa Davidova |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 55 Willow Ln Ste 201, Englishtown, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639755457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 26NJ01096100 (New Jersey) | Primary |
Entity Name | Allied Digestive Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265831259 PECOS PAC ID: 5991027583 Enrollment ID: O20141210001569 |
Mailing Address | Practice Location Address |
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Alisa Davidova, APN 187 Route 36 Ste 230, West Long Branch, NJ 07764-1306 Ph: (732) 222-3805 | Alisa Davidova, APN 55 Willow Ln Ste 201, Englishtown, NJ 07726-8434 Ph: (732) 370-2220 |
Lauren Cohn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Us Highway 9 Ste 5, Englishtown, NJ 07726 Phone: 732-334-6500 | |
Ashli Cyriaano, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 74 Us Highway 9 Ste 7, Englishtown, NJ 07726 Phone: 732-702-1488 | |
Gulrukh Julia Kamalova, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 S Main St, Englishtown, NJ 07726 Phone: 201-668-0083 |