Provider Demographics
NPI:1720430416
Name:ALLOTEY, EDMUND
Entity Type:Individual
Prefix:MR
First Name:EDMUND
Middle Name:
Last Name:ALLOTEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 YALE ST
Mailing Address - Street 2:APT. A
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-5362
Mailing Address - Country:US
Mailing Address - Phone:201-870-2003
Mailing Address - Fax:
Practice Address - Street 1:12 YALE ST
Practice Address - Street 2:APT. A
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-5362
Practice Address - Country:US
Practice Address - Phone:201-870-2003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services