Basic Information
| Provider Information | |||||||||
| NPI: | 1730258070 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAOU | ||||||||
| FirstName: | ALINE | ||||||||
| MiddleName: | G | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 EXECUTIVE DR | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | SOMERSET | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088734007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7323695994 | ||||||||
| FaxNumber: | 7323695993 | ||||||||
| Practice Location | |||||||||
| Address1: | 302 TOWNE CENTRE DR | ||||||||
| Address2: | |||||||||
| City: | HILLSBOROUGH | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088444695 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9083598613 | ||||||||
| FaxNumber: | 7324636060 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 01/30/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/30/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35.088771 | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | M0698 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | E-12008 | AR | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 62443 | CT | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD466953 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 312640 | LA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 25MA09633000 | NJ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.