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Individual

DR. ALAN D. DENNISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
110 MARTER AVE, BLDG 500, SUITE 503, MOORESTOWN, NJ 08057-3124
(856) 608-8840
(856) 722-1898
Mailing address
110 MARTER AVE, BLDG 500, SUITE 503, MOORESTOWN, NJ 08057-3124
(856) 608-8840
(856) 722-1898

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA65290
NJ
207Q00000X
Family Medicine Physician
MD066265L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010002189
AMERICHOICE
01
0523170000
AMERIHEALTH, KEYSTONE, IBC
01
080128745
RR MEDICARE
NJ
01
1082857
HORIZON NJ HEALTH
01
1839799
UNITED HEALTHCARE
01
19328
UNIVERSITY HEALTHPLAN
01
263782
AMERIHEALTH PPO
01
263786
PA BLUE SHIELD
01
3K4985
HEALTHNET
01
6610430
CIGNA
05
7581807
NJ
01
799493
AETNA
01
P700755
OXFORD
Enumeration date
09/20/2006
Last updated
12/30/2010
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