Provider Demographics
NPI:1013267285
Name:MORALES-MATELUNA, CARLOS ALEJANDRO (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ALEJANDRO
Last Name:MORALES-MATELUNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12961 SW 208TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-5539
Mailing Address - Country:US
Mailing Address - Phone:305-255-6949
Mailing Address - Fax:
Practice Address - Street 1:926 N WOOD AVE
Practice Address - Street 2:CENTER FOR ASTHMA AND ALLERGY
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4040
Practice Address - Country:US
Practice Address - Phone:908-925-3318
Practice Address - Fax:908-925-8646
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD073339L207K00000X
NJ25MA07617900207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology