MEDICARE: NANCY E ALLEGAR 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	207RP1001X	Pulmonary Disease Physician	25MA05520800	NJ
2	207R00000X	Internal Medicine Physician	25MA05520800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750387494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY E ALLEGAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 416457
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-6457
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 AMWELL RD STE 501
Second Line	:	BLDG 5
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-1248
Country	:	US
Telephone Number	:	908-281-1077
Fax Number	:	908-281-1081

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	04/11/2019

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