Provider Demographics
NPI:1831934785
Name:DESOMMA, ALEC CARLEY (PA-C)
Entity type:Individual
Prefix:MS
First Name:ALEC
Middle Name:CARLEY
Last Name:DESOMMA
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:200 SCHULZ DR STE 2
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-6745
Mailing Address - Country:US
Mailing Address - Phone:732-333-8720
Mailing Address - Fax:848-800-4801
Practice Address - Street 1:331 NEWMAN SPRINGS RD STE 200
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5691
Practice Address - Country:US
Practice Address - Phone:732-426-3420
Practice Address - Fax:848-800-4668
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2025-05-16
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Provider Licenses
StateLicense IDTaxonomies
NJ363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical