Provider Demographics
NPI:1245400191
Name:ALVAREZ, CECIL F (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MISS
First Name:CECIL
Middle Name:F
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2509 PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIED
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-9998
Mailing Address - Country:US
Mailing Address - Phone:908-756-7200
Mailing Address - Fax:
Practice Address - Street 1:2509 PARK AVE
Practice Address - Street 2:SILVER ZONE-6TH FLOOR
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5300
Practice Address - Country:US
Practice Address - Phone:908-756-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00195300363AM0700X
NY012179-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical