Provider Demographics
NPI:1851052583
Name:ALFONSO M LAMORTE III DO LLC
Entity Type:Organization
Organization Name:ALFONSO M LAMORTE III DO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALFONSO
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAMORTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-809-0900
Mailing Address - Street 1:1020 LAUREL OAK RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:VOORNEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3518
Mailing Address - Country:US
Mailing Address - Phone:856-809-0900
Mailing Address - Fax:888-357-3184
Practice Address - Street 1:1020 LAUREL OAK RD
Practice Address - Street 2:SUITE 301
Practice Address - City:VOORNEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3518
Practice Address - Country:US
Practice Address - Phone:856-809-0900
Practice Address - Fax:888-357-3184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty