Provider Demographics
NPI:1952689382
Name:QUIAMBAO, ALBERTO OLIVAS (RNFA)
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:OLIVAS
Last Name:QUIAMBAO
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 HARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1304
Mailing Address - Country:US
Mailing Address - Phone:732-576-1687
Mailing Address - Fax:
Practice Address - Street 1:60 HARVEY AVE
Practice Address - Street 2:
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1304
Practice Address - Country:US
Practice Address - Phone:732-576-1687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO09558400163W00000X
NJ282N500000X282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No163W00000XNursing Service ProvidersRegistered Nurse