Provider Demographics
NPI:1801009741
Name:ALVAREZ, BETHZAIDA (MD)
Entity type:Individual
Prefix:DR
First Name:BETHZAIDA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 SOMERSET ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-4774
Mailing Address - Country:US
Mailing Address - Phone:908-753-9739
Mailing Address - Fax:908-753-9831
Practice Address - Street 1:345 SOMERSET ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-4774
Practice Address - Country:US
Practice Address - Phone:908-753-9739
Practice Address - Fax:908-753-9831
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04580700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine