Provider Demographics
NPI:1376583898
Name:ALFIERI CARDIOLOGY, P.A.
Entity Type:Organization
Organization Name:ALFIERI CARDIOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALFIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:302-731-0001
Mailing Address - Street 1:701 FOULK RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3733
Mailing Address - Country:US
Mailing Address - Phone:302-731-0001
Mailing Address - Fax:
Practice Address - Street 1:701 FOULK RD STE 1A
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3733
Practice Address - Country:US
Practice Address - Phone:302-731-0007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000039444Medicaid
DEDE9344OtherPALMETTO GBA
DE1000039444Medicaid