Healthcare Provider Details

I. General information

NPI: 1629180930
Provider Name (Legal Business Name): FLORES ALFONSO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MADISON AVE
MORRISTOWN NJ
07960-6136
US

IV. Provider business mailing address

79 CROSS RD
CEDAR KNOLLS NJ
07927-1001
US

V. Phone/Fax

Practice location:
  • Phone: 973-971-5600
  • Fax:
Mailing address:
  • Phone: 973-984-8572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number25MA05905500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number25MA05905500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: