Provider Demographics
NPI:1831452598
Name:ORAM, ALEXIS MARISSA (MD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:MARISSA
Last Name:ORAM
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 1:2640 HIGHWAY 70 STE 1B
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-2614
Mailing Address - Country:US
Mailing Address - Phone:732-528-8448
Mailing Address - Fax:732-223-5792
Practice Address - Street 1:2640 HIGHWAY 70 STE 1B
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-2614
Practice Address - Country:US
Practice Address - Phone:732-528-8448
Practice Address - Fax:732-223-5792
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10213100208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics