Individual
DR. ALAAELDIN MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/DO
Contact information
Practice address
1105 LAUREL OAK RD STE 165, VOORHEES, NJ 08043-4312
(856) 374-4440
(856) 325-5734
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 374-4440
(856) 325-5734
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MB12372800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030701
—
NJ
Enumeration date
03/25/2019
Last updated
12/19/2024
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