Basic Information
Provider Information
NPI: 1306068788
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALVAREZ-DOWNING
FirstName: MELISSA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 30 BERGEN ST RM 1205
Address2:  
City: NEWARK
State: NJ
PostalCode: 071073000
CountryCode: US
TelephoneNumber: 9739720037
FaxNumber: 9739720743
Practice Location
Address1: 90 BERGEN ST FL 7
Address2:  
City: NEWARK
State: NJ
PostalCode: 071032425
CountryCode: US
TelephoneNumber: 9729722400
FaxNumber: 9739722988
Other Information
ProviderEnumerationDate: 05/03/2007
LastUpdateDate: 05/02/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208C00000X25MA10231000NJY Allopathic & Osteopathic PhysiciansColon & Rectal Surgery 
208600000X25MA10231000NJN Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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