Provider Demographics
NPI:1730291691
Name:ALPERT, MICHAEL CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHARLES
Last Name:ALPERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:340 DIAMOND SPRING RD
Mailing Address - Street 2:PO BOX 1163
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2914
Mailing Address - Country:US
Mailing Address - Phone:917-628-1741
Mailing Address - Fax:212-308-7941
Practice Address - Street 1:340 DIAMOND SPRING RD
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2914
Practice Address - Country:US
Practice Address - Phone:917-628-1741
Practice Address - Fax:212-308-7941
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 0303222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY40F041Medicare UPIN
NJD06822Medicare UPIN