Individual
DR. ALISON M MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
405 HURFFVILLE CROSSKEYS RD STE 101, SEWELL, NJ 08080-9340
(856) 218-0300
(856) 589-5082
Mailing address
405 HURFFVILLE CROSSKEYS RD STE 101, SEWELL, NJ 08080-9340
(856) 218-0300
(856) 589-5082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08638100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239321
—
NJ
Enumeration date
06/29/2007
Last updated
06/25/2024
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