Healthcare Provider Details

I. General information

NPI: 1437121332
Provider Name (Legal Business Name): ALAINA M. TONELLI OD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MISS ALAINA M. GEURDS

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 ROUTE 1 SUITE 400
PRINCETON NJ
08540-5903
US

IV. Provider business mailing address

3 PARTRIDGE RUN
PRINCETON JUNCTION NJ
08550-2157
US

V. Phone/Fax

Practice location:
  • Phone: 609-520-1008
  • Fax:
Mailing address:
  • Phone: 609-520-1008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number270A00572200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: