Provider Demographics
NPI:1255365912
Name:DEL ALCAZAR, CARLOS OSCAR (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:OSCAR
Last Name:DEL ALCAZAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 ENGLISHTOWN RD
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3938
Mailing Address - Country:US
Mailing Address - Phone:732-416-6900
Mailing Address - Fax:732-416-6823
Practice Address - Street 1:1810 ENGLISHTOWN RD
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3938
Practice Address - Country:US
Practice Address - Phone:732-416-6900
Practice Address - Fax:732-416-6823
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04963300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1395009Medicaid
E53196Medicare UPIN
NJDE592749Medicare ID - Type Unspecified