Provider Demographics
NPI:1336275023
Name:CESSARIO, ALISON G (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:G
Last Name:CESSARIO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:47 MAPLE ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2571
Mailing Address - Country:US
Mailing Address - Phone:908-273-5866
Mailing Address - Fax:908-273-5811
Practice Address - Street 1:47 MAPLE ST
Practice Address - Street 2:SUITE 107
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2571
Practice Address - Country:US
Practice Address - Phone:908-273-5866
Practice Address - Fax:908-273-5811
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NJMA0635582080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG35191Medicare UPIN