Provider Demographics
NPI:1730258070
Name:DAOU, ALINE G (MD)
Entity type:Individual
Prefix:
First Name:ALINE
Middle Name:G
Last Name:DAOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3 EXECUTIVE DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4007
Mailing Address - Country:US
Mailing Address - Phone:732-369-5994
Mailing Address - Fax:732-369-5993
Practice Address - Street 1:302 TOWNE CENTRE DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4695
Practice Address - Country:US
Practice Address - Phone:908-359-8613
Practice Address - Fax:732-463-6060
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2020-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.088771207Q00000X
TXM0698207Q00000X
ARE-12008207Q00000X
CT62443207Q00000X
PAMD466953207Q00000X
LA312640207Q00000X
NJ25MA09633000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ404204Medicare PIN
OH2698951Medicaid
TXI21134Medicare UPIN