Healthcare Provider Details
I. General information
NPI: 1750387494
Provider Name (Legal Business Name): NANCY E ALLEGAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/27/2005
Last Update Date: 04/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
390 AMWELL RD STE 501 BLDG 5
HILLSBOROUGH NJ
08844-1248
US
IV. Provider business mailing address
PO BOX 416457
BOSTON MA
02241-6457
US
V. Phone/Fax
- Phone: 908-281-1077
- Fax: 908-281-1081
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 25MA05520800 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 25MA05520800 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: