Individual
JAMES ALAN BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 WHITEHORSE MERCERVILLE RD STE 5, HAMILTON, NJ 08619-3836
(609) 631-3122
(609) 666-0530
Mailing address
210 YORKTOWN PLZ, ELKINS PARK, PA 19027-1424
(215) 600-4590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA69799
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8700800
MEDICAID GROUP NUMBER
NJ
05
—
8701008
—
NJ
Enumeration date
11/20/2006
Last updated
02/24/2020
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