Provider Demographics
NPI:1730509969
Name:DENIS, ALAIN
Entity type:Individual
Prefix:
First Name:ALAIN
Middle Name:
Last Name:DENIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 FREEWAY DR E
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-4000
Mailing Address - Country:US
Mailing Address - Phone:973-204-9129
Mailing Address - Fax:973-672-0545
Practice Address - Street 1:136 FREEWAY DR E
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-4000
Practice Address - Country:US
Practice Address - Phone:973-204-9129
Practice Address - Fax:973-672-0545
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2023-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ100625341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance