Provider Demographics
NPI:1417054644
Name:ALPHA MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:ALPHA MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-244-2706
Mailing Address - Street 1:462 LAKEHURST RD STE A
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6345
Mailing Address - Country:US
Mailing Address - Phone:732-244-2706
Mailing Address - Fax:732-244-2556
Practice Address - Street 1:462 LAKEHURST RD STE A
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6345
Practice Address - Country:US
Practice Address - Phone:732-244-2706
Practice Address - Fax:732-244-2556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty