Individual
ALEXANDRE HAGEBOUTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 CENTENNIAL BLVD, SUITE M, VOORHEES, NJ 08043-4689
(856) 325-6750
(856) 325-6777
Mailing address
401 HADDON AVE, E&R BUILDING 270, CAMDEN, NJ 08103-1505
(856) 963-3572
(856) 338-9211
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA60394
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0475739
AETNA
—
01
—
1051788
HORIZON NJ HEALTH
—
01
—
110115409
RR MEDICARE
—
01
—
1260900
UNITED HEALTHCARE
—
01
—
14822
UNIVERSITY HEALTHPLAN
—
01
—
3521183
CIGNA
—
01
—
3K5923
HEALTHNET
—
01
—
500004
PA BLUE SHIELD
PA
05
—
6234704
—
NJ
01
—
P441764
OXFORD
—
Enumeration date
08/29/2006
Last updated
04/25/2016
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