Provider Demographics
NPI:1295295186
Name:MINAFRA, BRITTNI KANE ALEXANDER (DO)
Entity type:Individual
Prefix:DR
First Name:BRITTNI
Middle Name:KANE ALEXANDER
Last Name:MINAFRA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BRITTNI
Other - Middle Name:KANE
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 95000 LB#7550
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-7550
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:33 OVERLOOK RD STE 140
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3562
Practice Address - Country:US
Practice Address - Phone:908-277-0050
Practice Address - Fax:908-277-0201
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB11421200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine