1437620705 NPI number — MRS. DESIREE E ALESSANDRINI RN

Table of content: MRS. DESIREE E ALESSANDRINI RN (NPI 1437620705)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437620705 NPI number — MRS. DESIREE E ALESSANDRINI RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALESSANDRINI
Provider First Name:
DESIREE
Provider Middle Name:
E
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CANTARELLA
Provider Other First Name:
DESIREE
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437620705
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/16/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 HADDON AVE FL 3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMDEN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08103-3101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-757-3500
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
130 GREENSWARD LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHERRY HILL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08002-4711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-283-1591
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/16/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WR0006X , with the licence number:  26NR14666400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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