MEDICARE: DR. ALEXANDER N. PREZIOSO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	25MA04373200	NJ

General Provider Information

NPI Number	:	1982852034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER N. PREZIOSO M.D.

Provider Business Mailing Address
First Line	:	P. O. BOX 925
Second Line	:
City	:	LAKE HOPATCONG
State	:	NJ
Zip	:	07849-0925
Country	:	US
Telephone Number	:	973-663-2022
Fax Number	:

Provider Business Practice Location Address
First Line	:	91 CHINCOPEE RD
Second Line	:	BOX 925
City	:	LAKE HOPATCONG
State	:	NJ
Zip	:	07849-1551
Country	:	US
Telephone Number	:	973-663-2022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	05/26/2011

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