NPI 1578340931

Tonny Alejandro Huisacayna Alvis, CPED

Practitioner Pedorthist Linden, NJ

Practice location

Address: 1901 E Linden Ave Unit 22, Linden, NJ 07036
Phone: (908) 862-3121
Fax: (908) 862-0028
Mailing address: 908 Sheridan Ave, Roselle, NJ 07203

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 45PD00001300 (NJ)

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Registry record

NPI: 1578340931
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2023
Record last updated: 11 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.