Alfonso Bullock, O.D

NPI 1891727525 · on the registry since 2006 · sole proprietor

Practice

Address: 261a Broad Ave.
Palisades Park, NJ 07650
Phone: (201) 944-3068
Organisation at this address: George Xenakis, Dds, Palisades Park, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 152W00000X
152W00000X
Also registered as: 152W00000X
Licence states on file: NY, NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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