Provider Demographics
NPI:1609903392
Name:INTERNOSCIA, ALBERT E (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:E
Last Name:INTERNOSCIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 US HIGHWAY 206
Mailing Address - Street 2:TOWNE CENTRE
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-5094
Mailing Address - Country:US
Mailing Address - Phone:908-874-4555
Mailing Address - Fax:908-281-9560
Practice Address - Street 1:419 US HIGHWAY 206
Practice Address - Street 2:TOWNE CENTRE
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-5094
Practice Address - Country:US
Practice Address - Phone:908-874-4555
Practice Address - Fax:908-281-9560
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ153051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice