Individual provider · Type 1 NPI
Alyssa Detogni, PA
Surgical Physician Assistant · Maywood, NJ
NPI number
1114509973
Active
Practice location
113 W Essex St Ste 201
Maywood, NJ 07607-1023
Mailing address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Other practice locations
- 300 Crossings Blvd, Warwick, RI 02886-2878 · (401) 777-7000
- 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 · (732) 741-0970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Maywood
About NPI 1114509973
Alyssa Detogni, PA's National Provider Identifier is 1114509973, issued on Apr 22, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Maywood, NJ. The record was last updated on Sep 15, 2026.