Organization
WENONAH MEDICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALKEN M.D. (PRESIDENT)
(856) 468-6868
Entity
Organization
Contact information
Practice address
107 E MANTUA AVE, WENONAH, NJ 08090-1950
(856) 468-6868
(856) 464-1855
Mailing address
107 E MANTUA AVE, WENONAH, NJ 08090-1950
(856) 468-6868
(856) 464-1855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2793407
—
NJ
Enumeration date
03/17/2006
Last updated
12/21/2009
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