Provider Demographics
NPI:1679914451
Name:AGUILAR, AL-ZADA ALBERTO ANG (MSN RNBC ACNPBC CCRN)
Entity type:Individual
Prefix:MR
First Name:AL-ZADA ALBERTO
Middle Name:ANG
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:MSN RNBC ACNPBC CCRN
Other - Prefix:MR
Other - First Name:AL
Other - Middle Name:
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN RNBC ACNPBC CCRN
Mailing Address - Street 1:619 EDPAS RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-3810
Mailing Address - Country:US
Mailing Address - Phone:732-986-7324
Mailing Address - Fax:
Practice Address - Street 1:1 ROBERT WOOD JOHNSON PL
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1928
Practice Address - Country:US
Practice Address - Phone:732-828-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00447900363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care