Provider Demographics
NPI:1184604274
Name:ALFIERI, ANTHONY D (DO)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:D
Last Name:ALFIERI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:39 OMEGA DR BLDG G
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2059
Mailing Address - Country:US
Mailing Address - Phone:302-731-0001
Mailing Address - Fax:302-731-0040
Practice Address - Street 1:39 OMEGA DR BLDG G
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2059
Practice Address - Country:US
Practice Address - Phone:302-731-0001
Practice Address - Fax:302-731-0040
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-0006579207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000383403Medicaid
DE0000383403Medicaid
DEE53933Medicare UPIN