Provider Demographics
NPI:1528706694
Name:ORAS, ALEX JOHN III
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:JOHN
Last Name:ORAS
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4403
Mailing Address - Country:US
Mailing Address - Phone:201-889-8649
Mailing Address - Fax:
Practice Address - Street 1:7 LAUREL DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-4403
Practice Address - Country:US
Practice Address - Phone:201-889-8649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ925864103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool