Provider Demographics
NPI:1780980136
Name:MEDICAL ALTERNATIVE SOLUTIONS
Entity type:Organization
Organization Name:MEDICAL ALTERNATIVE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEFRONZO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:908-301-0332
Mailing Address - Street 1:241 NEW PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-1736
Mailing Address - Country:US
Mailing Address - Phone:908-301-0332
Mailing Address - Fax:973-912-4367
Practice Address - Street 1:241 NEW PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-1736
Practice Address - Country:US
Practice Address - Phone:908-301-0332
Practice Address - Fax:973-912-4367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty