Provider Demographics
NPI:1043403447
Name:ALFORD, ERIKA MASUDA (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:MASUDA
Last Name:ALFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ERIKA
Other - Middle Name:MARIE
Other - Last Name:MASUDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1244 N MARINE CORPS DR
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-4308
Mailing Address - Country:US
Mailing Address - Phone:671-647-8262
Mailing Address - Fax:
Practice Address - Street 1:1244 N MARINE CORPS DR
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-4308
Practice Address - Country:US
Practice Address - Phone:671-647-8262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUM1720207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism