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NPI Code Detail

MEDICARE: JOHN-PATRICK B. ALVAREZ PA-C

MEDICARE: JOHN-PATRICK B. ALVAREZ PA-C
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
1363A00000XPhysician Assistant25MP00171100NJ

General Provider Information

NPI Number : 1861594798
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN-PATRICK B. ALVAREZ PA-C
Provider Business Mailing Address
First Line : 307 S EVERGREEN AVE
Second Line :
City : WOODBURY
State : NJ
Zip : 08096-2739
Country : US
Telephone Number : 856-686-4300
Fax Number :
Provider Business Practice Location Address
First Line : 18 E LAUREL RD
Second Line :
City : STRATFORD
State : NJ
Zip : 08084-1327
Country : US
Telephone Number : 856-346-6816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 03/12/2026

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