Provider Demographics
NPI:1073338083
Name:CAMPORA, ALESSIA (TECHNICIAN)
Entity type:Individual
Prefix:
First Name:ALESSIA
Middle Name:
Last Name:CAMPORA
Suffix:
Gender:F
Credentials:TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-8749
Mailing Address - Country:US
Mailing Address - Phone:732-712-1778
Mailing Address - Fax:
Practice Address - Street 1:56 ROUTE 36
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2508
Practice Address - Country:US
Practice Address - Phone:732-676-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RW05353800183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician