Provider Demographics
NPI:1518402114
Name:ROANNA ESPINO ALCERA MD PC
Entity Type:Organization
Organization Name:ROANNA ESPINO ALCERA MD PC
Other - Org Name:ALCERA FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-491-7021
Mailing Address - Street 1:103 CREEK CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2765
Mailing Address - Country:US
Mailing Address - Phone:609-491-7021
Mailing Address - Fax:609-784-8300
Practice Address - Street 1:103 CREEK CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-2765
Practice Address - Country:US
Practice Address - Phone:609-491-7021
Practice Address - Fax:609-784-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty