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Contact Information

ALYSSA E WALL, MD
55 N GILBERT ST STE 2101
TINTON FALLS, NJ07701-4957
 Phone: 732-842-6677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
Indicates primary specialty

NPI Profile & details for ALYSSA E WALL · (Female)

NPI # 1235583279
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2016
Last updated 11/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA10606100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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