Individual
ALLEN MOGTADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-1200
(609) 735-0175
Mailing address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-1200
(609) 893-1213
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA06270700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6754309
—
NJ
Enumeration date
06/03/2006
Last updated
08/15/2012
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