Provider Demographics
NPI:1255381067
Name:FARINA, ALEXANDER JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JOSEPH
Last Name:FARINA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 WHITEHORSE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-1410
Mailing Address - Country:US
Mailing Address - Phone:609-585-1122
Mailing Address - Fax:609-585-0309
Practice Address - Street 1:445 WHITEHORSE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-1410
Practice Address - Country:US
Practice Address - Phone:609-585-1122
Practice Address - Fax:609-585-0309
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB02043600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1679503Medicaid
NJ1679503Medicaid
NJ054078Medicare ID - Type Unspecified