Healthcare Provider Details

I. General information

NPI: 1730258070
Provider Name (Legal Business Name): ALINE G DAOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 01/30/2020
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 TOWNE CENTRE DR
HILLSBOROUGH NJ
08844-4695
US

IV. Provider business mailing address

3 EXECUTIVE DR SUITE 400
SOMERSET NJ
08873-4007
US

V. Phone/Fax

Practice location:
  • Phone: 908-359-8613
  • Fax: 732-463-6060
Mailing address:
  • Phone: 732-369-5994
  • Fax: 732-369-5993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.088771
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM0698
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-12008
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number62443
License Number StateCT
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD466953
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number312640
License Number StateLA
# 7
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA09633000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: