Alix Detullio, APN

NPI 1043618747 · on the registry since 2014

Practice

Address: 901 W Main St
Freehold, NJ 07728
Phone: (732) 431-0023
Organisation at this address: Ck Surgical, Llc
Dermatology Partners
Caring Neurology Llc
Amit S Kharod Md Llc
Prime Surgicare, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 235

Registry record

Primary taxonomy: 364SA2100X
364SA2100X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey